| University Psychiatric Services, Psc | |
|
550 S Jackson St Attention: Jennifer Foley Louisville KY 40202-1622 | |
| (502) 813-6655 | |
| (502) 813-6665 |
| Full Name | University Psychiatric Services, Psc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 550 S Jackson St, Louisville, Kentucky |
| Authorized Official Name and Position | Allan Tasman (PRESIDENT) |
| Authorized Official Contact | 5028525392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Psychiatric Services, Psc Po Box 69 Attention Jennifer Foley Louisville KY 40201-0069 Ph: (502) 812-6655 | University Psychiatric Services, Psc 550 S Jackson St Attention: Jennifer Foley Louisville KY 40202-1622 Ph: (502) 813-6655 |
| NPI Number | 1881666949 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881666949 | NPI | - | NPPES |
| 65907198 | Medicaid | KY | |
| CC3957 | Other | KY | RAILROAD MEDICARE |
| C11618 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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