SearchIndiana101YA0400X

Mark Delong, CADAC II, MSED., CCS

NPI 1760503718 · on the registry since 2007

Practice

Address
645 N Walnut St
Bloomington, IN 47404
Phone
(812) 336-3570
Fax
(812) 336-9010
Organisation at this address
Amethyst House
Amethyst House, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana