Cerebral Palsy Kids Center Inc in Louisville - Clinical Child & Adolescent

Cerebral Palsy Kids Center Inc - NPI 1851450464

Cerebral Palsy Kids Center Inc is a Clinical Child & Adolescent in Louisville, Kentucky. Cerebral Palsy Kids Center Inc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Cerebral Palsy Kids Center Inc is 1851450464. The last update date is 2021-01-25.

Cerebral Palsy Kids Center Inc's current location address is 982 Eastern Parkway, Louisville, Kentucky. You can contact this provider via phone number 5026356397 and fax number 5026351147. The mailing address for Cerebral Palsy Kids Center Inc is 982 Eastern Parkway, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cerebral Palsy Kids Center Inc
Address 982 Eastern Parkway, Louisville, Kentucky
Phone Number 5026356397
Fax Number 5026351147
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Lutke Brittany
Telephone Number 5026356397

NPI Number Detail

NPI Number 1851450464
Provider Enumeration Date 2006-12-08
Last Updated Date 2021-01-25

Provider Mailing Address Detail

Address 982 Eastern Parkway
City Louisville
State Kentucky (KY)
Post Code 402171501
Phone Number 5026356397
Fax Number 5026351147

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
90630567 KY DME MEDICAID
200067440A IN MEDICAID
22000000217778 ANTHEM BLUE SHIELD ST
22000000217777 ANTHEM BLUE SHIELD OT
22000000217779 ANTHEM BLUE SHIELD PT
65901993 KY --
50006662 KY PASSPORT MD
50000598 KY PASSPORT THERAPY

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FAQs about Cerebral Palsy Kids Center Inc

What is the unique 10-digit identifier code assigned to Cerebral Palsy Kids Center Inc by the Centers for Medicare & Medicaid Services?

The Cerebral Palsy Kids Center Inc has been issued the NPI (National Provider Identifier) 1851450464 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Cerebral Palsy Kids Center Inc is geographically located?

The Cerebral Palsy Kids Center Inc is physically situated at the following location: 982 Eastern Parkway, Louisville, KY, 402171501.

What is the Cerebral Palsy Kids Center Inc's specialty and taxonomy code?

The Cerebral Palsy Kids Center Inc's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1851450464 to Cerebral Palsy Kids Center Inc?

The Centers for Medicare & Medicaid Services assigned the 1851450464 to Cerebral Palsy Kids Center Inc on 2006-12-08.

When was the Cerebral Palsy Kids Center Inc's information last updated?

The Cerebral Palsy Kids Center Inc's information was last updated on 2021-01-25.

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