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Organization
LARRY M. RASKIN, PH.D., P.S.C.
Active
Organization
LARRY M. RASKIN, PH.D., P.S.C.
Active
Other names
Psychology Resource Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY M. RASKIN PH.D. (PRESIDENT)
(502) 394-9990
Entity
Organization
Contact information
Practice address
7400 NEW LAGRANGE RD, SUITE 312, LOUISVILLE, KY 40222-4870
(502) 394-9990
(502) 394-9990
Mailing address
7400 NEW LAGRANGE RD, SUITE 312, LOUISVILLE, KY 40222-4870
(502) 394-9990
(502) 394-9990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241408000
MAGELLAN GROUP NUMBER
KY
Enumeration date
01/05/2006
Last updated
01/06/2011
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