Organization
DESHIELDS BEHAVIORAL WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE BETH DESHIELDS PSY.D. (PRESIDENT)
(502) 681-7330
Entity
Organization
Contact information
Practice address
2515 GARDINER LN, LOUISVILLE, KY 40205-3003
(502) 681-7330
(502) 489-5552
Mailing address
2515 GARDINER LN, LOUISVILLE, KY 40205-3003
(502) 681-7330
(502) 489-5552
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
216350
KY
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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