Organization
ANGELA MCCOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MCCOY M.ED,IECE,DI (DEVELOPMENTAL INTERVENTIONIST)
(502) 298-4140
Entity
Organization
Contact information
Practice address
8105 WINDSOR LAKES CT, LOUISVILLE, KY 40214-4478
(502) 298-4140
Mailing address
8105 WINDSOR LAKES CT, LOUISVILLE, KY 40214
(502) 298-4140
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
200201781
KY
Other
Enumeration date
05/19/2016
Last updated
05/24/2016
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