Most Relevant Information
Provider Data
| NPI Number: | 1003281114 |
| Provider Name: | DELYN KAZDAN MSED |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/01/2015 |
| Last Updated: | 07/12/2019 |
Provider Practice Location
1117 N JACKSON ST
BLOOMINGTON
IN
474043385
Practice Location Phone/Fax
| Phone: | 8127274181 |
| Fax: |
Provider Mailing Location
1117 N JACKSON ST
BLOOMINGTON
IN
474043385
Provider Mailing Phone/Fax
| Phone: | 8127274181 |
| Fax: |