| Ulrf Child & Adolescent Psychiatry | |
|
200 E Chestnut St Louisville KY 40202-1831 | |
| (502) 588-0800 | |
| (502) 588-0801 |
| Full Name | Ulrf Child & Adolescent Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 200 E Chestnut St, Louisville, Kentucky |
| Authorized Official Name and Position | David Dunn (EVP OF HEALTH AFFAIRS) |
| Authorized Official Contact | 5028525184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ulrf Child & Adolescent Psychiatry Po Box 909 Louisville KY 40201-0909 Ph: (502) 588-0320 | Ulrf Child & Adolescent Psychiatry 200 E Chestnut St Louisville KY 40202-1831 Ph: (502) 588-0800 |
| NPI Number | 1053733022 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 02/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053733022 | NPI | - | NPPES |
| 7100325580 | Medicaid | KY |
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