| Michele Amburgey M A Certified Psychologist Psc | |
|
84 E Main St Suite A Whitesburg KY 41858-7254 | |
| (606) 633-0035 | |
| (606) 633-0035 |
| Full Name | Michele Amburgey M A Certified Psychologist Psc |
|---|---|
| Speciality | Psychologist |
| Location | 84 E Main St, Whitesburg, Kentucky |
| Authorized Official Name and Position | Michele Amburgey (PSYCHOLOGIST) |
| Authorized Official Contact | 6066330035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Amburgey M A Certified Psychologist Psc Po Box 538 Whitesburg KY 41858-0538 Ph: (606) 633-0035 | Michele Amburgey M A Certified Psychologist Psc 84 E Main St Suite A Whitesburg KY 41858-7254 Ph: (606) 633-0035 |
| NPI Number | 1992061501 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 04/25/2012 |
| Medicare PECOS PAC ID | 6305009044 |
|---|---|
| Medicare Enrollment ID | O20120516000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992061501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0148 (Kentucky) | Primary |
| Provider Name | Lavenia Michele Amburgey |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1356412522 PECOS PAC ID: 7113180852 Enrollment ID: I20120516000741 |
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