| Your Psychological Needs, Inc. | |
|
13113 Eastpoint Park Blvd Ste C Louisville KY 40223-4191 | |
| (502) 245-7258 | |
| (502) 489-5552 |
| Full Name | Your Psychological Needs, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13113 Eastpoint Park Blvd Ste C, Louisville, Kentucky |
| Authorized Official Name and Position | Donna L Clemens (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5024894302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Psychological Needs, Inc. 13113 Eastpoint Park Blvd Ste C Louisville KY 40223-4191 Ph: (502) 245-7258 | Your Psychological Needs, Inc. 13113 Eastpoint Park Blvd Ste C Louisville KY 40223-4191 Ph: (502) 245-7258 |
| NPI Number | 1023445913 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 03/13/2014 |
| Medicare PECOS PAC ID | 8628209186 |
|---|---|
| Medicare Enrollment ID | O20140326000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023445913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Yelena G Vanina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942250139 PECOS PAC ID: 3577526615 Enrollment ID: I20050823000988 |
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