# CHESTNUT PARK PROFESSIONALS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265574396
- **Authorized official:** DR. CORRIE J VOS PH.D. (OWNER)
- **Authorized official phone:** (270) 782-1116

## Contact information

- **Practice address:** 1215 HIGH ST, BOWLING GREEN, KY 42101-2541
- **Practice address phone:** (270) 782-1116
- **Practice address fax:** (270) 782-9108
- **Mailing address:** 1215 HIGH ST, BOWLING GREEN, KY 42101-2541
- **Mailing address phone:** (270) 782-1116
- **Mailing address fax:** (270) 782-9108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0670 | KY | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 04/12/2012