| Pediatric Evaluation Clinic, Pllc | |
|
1401 Brandenburg Rd Leitchfield KY 42754-1805 | |
| (270) 899-0424 | |
| Not Available |
| Full Name | Pediatric Evaluation Clinic, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1401 Brandenburg Rd, Leitchfield, Kentucky |
| Authorized Official Name and Position | Kelley Hamilton (CREDENTIALING) |
| Authorized Official Contact | 3035061905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Evaluation Clinic, Pllc 1401 Brandenburg Rd Leitchfield KY 42754-1805 Ph: () - | Pediatric Evaluation Clinic, Pllc 1401 Brandenburg Rd Leitchfield KY 42754-1805 Ph: (270) 899-0424 |
| NPI Number | 1851072672 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851072672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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