| Good Shepherd Institute, Inc. | |
|
7103 Turfway Rd Suite 101 Florence KY 41042-2094 | |
| (859) 371-2800 | |
| (859) 371-2823 |
| Full Name | Good Shepherd Institute, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7103 Turfway Rd, Florence, Kentucky |
| Authorized Official Name and Position | Richard R. Meyer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8593712800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Institute, Inc. 7103 Turfway Rd Suite 101 Florence KY 41042-2094 Ph: (859) 371-2800 | Good Shepherd Institute, Inc. 7103 Turfway Rd Suite 101 Florence KY 41042-2094 Ph: (859) 371-2800 |
| NPI Number | 1104088038 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104088038 | NPI | - | NPPES |
| 0819789 | Medicaid | OH | |
| 8900063200 | Medicaid | KY | |
| 9402 | Other | KY | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 547 (Kentucky) | Primary |
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