Renee Ivy

NPI #1457717183 in Merrillville, Indiana

Provider Information

NPI Number: 1457717183
Entity Type: Individual
Name: Renee Ivy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 11, 2016
Last Updated: Jan 14, 2016

Practice Location

Address: 7060 MADISON ST
City: Merrillville
State: Indiana
ZIP Code: 46410-3452
Phone: (219) 840-8209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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