Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Active
Parent organization
UNIVERSITY OF LOUISVILLE
Other names
ULRF Child & Adolescent Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF LOUISVILLE
Authorized official
DAVID DUNN MD (EVP OF HEALTH AFFAIRS)
(502) 852-5184
Entity
Organization
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 588-0800
(502) 588-0801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100325580
—
KY
Enumeration date
01/10/2014
Last updated
02/20/2015
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