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Youth Opportunity Center
Health Service Psychologist in Muncie, Indiana
NPI 1538319421

Youth Opportunity Center is a Health Service Psychologist based in Muncie, IN and is specialized in Health Service. Youth Opportunity Center practices in Muncie, IN. The NPI Number for Youth Opportunity Center is 1538319421 and holds a License No. 20042115A (Indiana).

The current practice location address for Youth Opportunity Center is 3700 W Kilgore Ave, Muncie, IN and can be reached out via phone at 765-289-5437 and via fax at 765-213-5094.

Location: 3700 W Kilgore Ave, Muncie, IN, 47304-4810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538319421
Provider Name
Youth Opportunity Center
Credential
Provider Entity Type
Organization
Address
3700 W Kilgore Ave, Muncie, IN, 47304-4810
Phone Number
765-289-5437
Fax Number
765-213-5094
Provider Enumeration Date
09/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200888010 05 IN
institution
Provider Business Practice Location Address Details
Address
3700 W Kilgore Ave
City
Muncie
State
Indiana
Zip
47304-4810
Phone Number
765-289-5437
Fax Number
765-213-5094
person
Provider Business Mailing Address Details
Address
3700 W Kilgore Ave
City
Muncie
State
Indiana
Zip
47304-4810
Phone Number
765-289-5437
Fax Number
765-213-5094
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
20042115A (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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