| Doctor Name: | MRS. IVY RUFINA VOYNOVICH |
| NPI Number: | 1083085708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. LCDC III |
| License Number: | 081062 |
| Business Practice Address: | 816 Rudolph Way Greendale, IN - 470258312 |
| Business Phone Number: | 8125371668 |
| Business Fax Number: | 8125370418 |
| Mailing Address: | 816 Rudolph Way, GREENDALE |
| State: | IN |
| Postal Code: | 470258312 |
| Phone Number: | 8125371668 |
| Fax Number: | 8125379173 |
| NPI Enumeration Date: | 10/08/2015 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 081062 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |