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Organization
INTEGRATED PSYCHOLOGICAL SERVICES LLC
Active
Organization
INTEGRATED PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON BRIAUNA SHELBY PHD, LP (OWNER/PSYCHOLOGIST)
(618) 727-1913
Entity
Organization
Contact information
Practice address
413 BROADWAY ST UNIT A, PADUCAH, KY 42001-0738
(618) 727-1913
Mailing address
413 BROADWAY ST UNIT A, PADUCAH, KY 42001-0738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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