Organization
GOOD SHEPHERD INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD R. MEYER PSY.D. (CLINICAL DIRECTOR)
(859) 371-2800
Entity
Organization
Contact information
Practice address
7103 TURFWAY RD, SUITE 101, FLORENCE, KY 41042-2094
(859) 371-2800
(859) 371-2823
Mailing address
7103 TURFWAY RD, SUITE 101, FLORENCE, KY 41042-2094
(859) 371-2800
(859) 371-2823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819789
—
OH
05
—
8900063200
—
KY
01
—
9402
MEDICARE GROUP NUMBER
KY
Enumeration date
07/01/2008
Last updated
07/01/2008
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