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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