| The United Methodist Youth Home Inc | |
|
2521 N Burkhardt Rd Evansville IN 47715-2151 | |
| (812) 479-7535 | |
| (812) 475-7203 |
| Full Name | The United Methodist Youth Home Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2521 N Burkhardt Rd, Evansville, Indiana |
| Authorized Official Name and Position | Barbara C. Jessen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8124797535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The United Methodist Youth Home Inc 2521 N Burkhardt Rd Evansville IN 47715-2151 Ph: (812) 479-7535 | The United Methodist Youth Home Inc 2521 N Burkhardt Rd Evansville IN 47715-2151 Ph: (812) 479-7535 |
| NPI Number | 1881853182 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881853182 | NPI | - | NPPES |
| 100247020 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 210257A (Indiana) | Primary |
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