| Senior Guidance, P.s.c. | |
|
200 Breckenridge Ln Louisville KY 40207-3872 | |
| (502) 609-0197 | |
| (812) 949-1335 |
| Full Name | Senior Guidance, P.s.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 Breckenridge Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Susan K Cochran (PRESIDENT) |
| Authorized Official Contact | 8129492253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Guidance, P.s.c. 2831 Mount Tabor Rd New Albany IN 47150-2075 Ph: (812) 949-2253 | Senior Guidance, P.s.c. 200 Breckenridge Ln Louisville KY 40207-3872 Ph: (502) 609-0197 |
| NPI Number | 1437359494 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 08/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437359494 | NPI | - | NPPES |
| 82001199 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 932 (Kentucky) | Primary |
| 1041C0700X | Social Worker - Clinical | 34001501 (Indiana) | Secondary |
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