Unknown Individual – Clinical Psychologist, NPI 1053737890
Clinical Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1169 EASTERN PKWY
SUITE 2252
LOUISVILLE, KY 402171417
Phone: (502) 454-4040
Fax: (502) 454-4609
Mailing address matches the actual address.
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KY | |
| - | HI | |
| Clinical Social Worker | IN | |
| - | KY | |
| - | KY | |
| Clinical Psychologist | KY | |
| - | KS | |
| - | KS | |
| Mental Health Counselor | KY | |
| - | KY |
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