# SYNERGY HEALTHCARE, PSC

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

## Provider details

- **NPI number:** 1790409902
- **Authorized official:** DEEPAK MITTAL MD (PRESIDENT)
- **Authorized official phone:** (859) 757-4353

## Contact information

- **Practice address:** 47 CAVALIER BLVD STE 120, FLORENCE, KY 41042-3970
- **Practice address phone:** (597) 574-3538
- **Practice address fax:** (859) 534-0865
- **Mailing address:** 47 CAVALIER BLVD STE 120, FLORENCE, KY 41042-3970
- **Mailing address phone:** (597) 574-3538
- **Mailing address fax:** (859) 534-0865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2022
- **Last updated:** 09/30/2022