Search › Indiana › 101YA0400X
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