Exploration Psychological Services Llc | |
10801 Grafton Hall Rd Louisville KY 40272-4139 | |
(502) 777-0111 | |
Not Available |
Full Name | Exploration Psychological Services Llc |
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Speciality | Community/Behavioral Health |
Location | 10801 Grafton Hall Rd, Louisville, Kentucky |
Authorized Official Name and Position | Valerie N Fallon (OWNER/LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 5027770111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Exploration Psychological Services Llc 10801 Grafton Hall Rd Louisville KY 40272-4139 Ph: (502) 777-0111 | Exploration Psychological Services Llc 10801 Grafton Hall Rd Louisville KY 40272-4139 Ph: (502) 777-0111 |
NPI Number | 1548956337 |
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Provider Enumeration Date | 04/13/2023 |
Last Update Date | 04/13/2023 |
Certification Date | 04/13/2023 |
Medicare PECOS PAC ID | 4183078850 |
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Medicare Enrollment ID | O20230928002720 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548956337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Valerie N Fallon |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992908636 PECOS PAC ID: 8527227040 Enrollment ID: I20120301000856 |
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