Thomas Bush is a Clinical in Elizabethtown, Kentucky. Thomas Bush practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Bush is 1285672055. The last update date is 2007-07-08.
Thomas Bush's current location address is 107 Cranes Roost Ct, Elizabethtown, Kentucky. You can contact this provider via phone number 2707652605. The mailing address for Thomas Bush is 107 Cranes Roost Ct, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Bush |
|---|---|
| Address | 107 Cranes Roost Ct, Elizabethtown, Kentucky |
| Phone Number | 2707652605 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1285672055 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 Cranes Roost Ct |
|---|---|
| City | Elizabethtown |
| State | Kentucky (KY) |
| Post Code | 427013650 |
| Phone Number | 2707652605 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 563 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30605018 | KY | -- | |
| 341172 | KY | TRICARE | |
| 11574907 | CAQH | ||
| 44420 | KY | ANTHEM |
Post Comment/ Review Below
What is the Thomas Bush's 1285672055?
The Thomas Bush's NPI (National Provider Identifier) Number is 1285672055. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thomas Bush?
The Thomas Bush is situated at 107 Cranes Roost Ct, in the city of Elizabethtown, state of KY, with the zip code 427013650.
What is the Thomas Bush's specialty and taxonomy code?
The Thomas Bush's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Thomas Bush's 1285672055 issued?
The Thomas Bush's 1285672055 was issued on 2006-06-03.
When was the information regarding Thomas Bush most recently updated?
The details pertaining to the Thomas Bush, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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