Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1386684595
Clinical Child & Adolescent Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
101, West Muhammad Ali Boulevard, Louisville, Jefferson County, Kentucky, 40202, United States
LOUISVILLE, KY 402021423
Phone: (502) 589-8600
Mailing address matches the actual address.
NPPES updates history
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Prescription Activity
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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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Insurance plans in this area (ZIP 40202)
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