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Organization

BRAINPOWER NEURODEVELOPMENTAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE E MORTON PSYD, HSPP (PRACTICE OWNER)
(812) 773-8321
Entity
Organization

Contact information

Practice address
5155 ROSEBUD LN, NEWBURGH, IN 47630-9332
(812) 773-8321
(812) 961-6546
Mailing address
5155 ROSEBUD LN, NEWBURGH, IN 47630-9332
(812) 773-8321
(812) 961-6546

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103T00000X
Psychologist
Primary
103TC2200X
Clinical Child & Adolescent Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201354650A
IN
05
7100664000
KY
Enumeration date
04/21/2016
Last updated
02/22/2024
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