Organization
YWCA NORTH CENTRAL INDIANA
Active
Organization
YWCA NORTH CENTRAL INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON DEVINNEY PH.D. (HEALTH SERVICE PROVIDER PSYCHOLOGY)
(574) 286-0055
Entity
Organization
Contact information
Practice address
1102 FELLOWS ST, SOUTH BEND, IN 46601-3514
(574) 233-9491
(574) 233-9616
Mailing address
1102 S. FELLOWS ST., SOUTH BEND, IN 46601-3514
(574) 233-9491
(574) 233-9616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201211530
—
IN
Enumeration date
09/10/2015
Last updated
09/10/2015
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