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920 Frederica St Ste 1003 Owensboro KY 42301-3075 | |
| (270) 686-8984 | |
| (270) 689-0054 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 920 Frederica St Ste 1003, Owensboro, Kentucky |
| Authorized Official Name and Position | Linda E White (PRESIDENT/CEO) |
| Authorized Official Contact | 8124505000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1230 Evansville IN 47706-1230 Ph: (812) 450-6815 | 920 Frederica St Ste 1003 Owensboro KY 42301-3075 Ph: (270) 686-8984 |
| NPI Number | 1841303484 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841303484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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