# DR. BETH E BRINSKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780638338
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0833 | KY | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 07/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 089418000 | MAGELLAN MIS | — |
| 01 | — | 1467 | ALLIANCE BEHAVIORAL CARE | — |
| 01 | — | 22000000019998 | ANTHEM PROV. NUMBER | KY |