Pediatric Psychological Associates Pllc in Louisville - Clinical
Pediatric Psychological Associates Pllc - NPI 1164435541
Pediatric Psychological Associates Pllc is a Clinical in Louisville, Kentucky. Pediatric Psychological Associates Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pediatric Psychological Associates Pllc is 1164435541. The last update date is 2020-08-22.
Pediatric Psychological Associates Pllc's current location address is 9700 Park Plaza Ave, Louisville, Kentucky. You can contact this provider via phone number 5024295431 and fax number 5024295495. The mailing address for Pediatric Psychological Associates Pllc is 9700 Park Plaza Ave, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pediatric Psychological Associates Pllc |
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Address | 9700 Park Plaza Ave, Louisville, Kentucky |
Phone Number | 5024295431 |
Fax Number | 5024295495 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PHYS |
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Authorized Official Name | Mcgraw L. Kelly |
Credentials | PSYD |
Telephone Number | 5024295431 |
NPI Number Detail
NPI Number | 1164435541 |
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Provider Enumeration Date | 2006-08-15 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 9700 Park Plaza Ave |
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City | Louisville |
State | Kentucky (KY) |
Post Code | 402412236 |
Phone Number | 5024295431 |
Fax Number | 5024295495 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
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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What is the Pediatric Psychological Associates Pllc's 1164435541?
The Pediatric Psychological Associates Pllc's NPI (National Provider Identifier) Number is 1164435541. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Pediatric Psychological Associates Pllc is geographically located?
The Pediatric Psychological Associates Pllc is physically situated at the following location: 9700 Park Plaza Ave, Louisville, KY, 402412236.
What is Pediatric Psychological Associates Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pediatric Psychological Associates Pllc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Pediatric Psychological Associates Pllc receive its 1164435541?
The Pediatric Psychological Associates Pllc was issued its 1164435541 on 2006-08-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Pediatric Psychological Associates Pllc most recently updated?
The details pertaining to the Pediatric Psychological Associates Pllc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.