| Pediatric Hematology/oncology Specialists, Psc | |
|
601 S Floyd St Suite 403 Louisville KY 40202-1835 | |
| (502) 629-7751 | |
| (500) 629-5780 |
| Full Name | Pediatric Hematology/oncology Specialists, Psc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 601 S Floyd St, Louisville, Kentucky |
| Authorized Official Name and Position | Salvatore J Bertolone (PRESIDENT) |
| Authorized Official Contact | 5026297751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Hematology/oncology Specialists, Psc 601 S Floyd St Suite 403 Louisville KY 40202-1835 Ph: (502) 629-7751 | Pediatric Hematology/oncology Specialists, Psc 601 S Floyd St Suite 403 Louisville KY 40202-1835 Ph: (502) 629-7751 |
| NPI Number | 1972827707 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972827707 | NPI | - | NPPES |
| 7100096690 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1505 (Kentucky) | Primary |
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