Organization
THE UNITED METHODIST YOUTH HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA C. JESSEN PSY D (EXECUTIVE DIRECTOR)
(812) 479-7535
Entity
Organization
Contact information
Practice address
2521 N BURKHARDT RD, EVANSVILLE, IN 47715-2151
(812) 479-7535
(812) 475-7203
Mailing address
2521 N BURKHARDT RD, EVANSVILLE, IN 47715-2151
(812) 479-7535
(812) 475-7203
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
210257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247020
—
IN
Enumeration date
06/03/2008
Last updated
06/03/2008
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