| Commonwealth Therapy Louisville, Pllc | |
|
3703 Taylorsville Rd Ste 211 Louisville KY 40220-1331 | |
| (502) 592-1736 | |
| (502) 785-4834 |
| Full Name | Commonwealth Therapy Louisville, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3703 Taylorsville Rd Ste 211, Louisville, Kentucky |
| Authorized Official Name and Position | Allyson Bradow (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5025921736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Therapy Louisville, Pllc 3703 Taylorsville Rd Ste 221 Louisville KY 40220-1331 Ph: (502) 592-1736 | Commonwealth Therapy Louisville, Pllc 3703 Taylorsville Rd Ste 211 Louisville KY 40220-1331 Ph: (502) 592-1736 |
| NPI Number | 1033503974 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 12/01/2017 |
| Medicare PECOS PAC ID | 4789942152 |
|---|---|
| Medicare Enrollment ID | O20171213002322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033503974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Allyson N. Bradow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558667758 PECOS PAC ID: 3072750819 Enrollment ID: I20130514000694 |
| Provider Name | Elizabeth Swabek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801305461 PECOS PAC ID: 4789941022 Enrollment ID: I20171122000633 |
| Provider Name | Ashley Belcher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952876146 PECOS PAC ID: 1153654371 Enrollment ID: I20191002002518 |
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