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Organization
MOHAMMAD A. MIAN, MD PSC
Active
Organization
MOHAMMAD A. MIAN, MD PSC
Active
Other names
KENTUCKIANA PSYCHOTHERAPY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE JACOBS SINGER (OFFICE MANAGER)
(502) 499-9993
Entity
Organization
Contact information
Practice address
9017 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1749
(502) 499-9993
(502) 495-0758
Mailing address
9017 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1749
(502) 499-9993
(502) 495-0758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
425
KY
174400000X
Specialist
Primary
22242
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116470
—
IN
05
—
200055430
—
IN
05
—
64222425
—
KY
05
—
65917932
—
KY
05
—
82004250
—
KY
05
—
82900036
—
KY
Enumeration date
04/26/2007
Last updated
03/10/2008
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