| Associates In Counseling And Psychology, Llc | |
|
1011 Lehman Ave Suite 103 Bowling Green KY 42103-6515 | |
| (270) 393-9833 | |
| (270) 393-9835 |
| Full Name | Associates In Counseling And Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1011 Lehman Ave, Bowling Green, Kentucky |
| Authorized Official Name and Position | Robert Bruce Fane (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2703939833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Counseling And Psychology, Llc 1011 Lehman Ave Suite 103 Bowling Green KY 42103-6515 Ph: (270) 393-9833 | Associates In Counseling And Psychology, Llc 1011 Lehman Ave Suite 103 Bowling Green KY 42103-6515 Ph: (270) 393-9833 |
| NPI Number | 1134212335 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/28/2013 |
| Medicare PECOS PAC ID | 9739196155 |
|---|---|
| Medicare Enrollment ID | O20060309000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134212335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1104 (Kentucky) | Primary |
| Provider Name | Robert B Fane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144313248 PECOS PAC ID: 4688612930 Enrollment ID: I20050419000165 |
| Provider Name | Lela S Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235239849 PECOS PAC ID: 1557378890 Enrollment ID: I20060313000201 |
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