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Psychologist · Louisville, KY

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At a glance

4611 Cliff Ave, Louisville, KY 40215-2418

NPPES record updated Aug 15, 2024. Public records can lag behind changes at a practice.

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Practice location

4611 Cliff Ave
Louisville, KY 40215-2418

Professional details: NPI, taxonomy & registry record

NPI1356173744

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Registry details

Primary taxonomy: Psychologist
Taxonomy code: 103T00000X
Enumeration date: Aug 15, 2024
Record updated: Aug 15, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Psychologist

103T00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4611 Cliff Ave
Louisville, KY 40215-2418

Phone: (502) 439-8876

Mailing address

4611 CLIFF AVE

LOUISVILLE, KY 402152418

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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