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Individual

BRIAN R MONSMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8007 LYNDON CENTRE WAY, SUITE # 101, LOUISVILLE, KY 40222
(502) 690-8024
Mailing address
PO BOX 8116, LOUISVILLE, KY 40257-8116
(502) 413-5228
(502) 413-5995

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0867
KY

Other

Enumeration date
06/29/2009
Last updated
03/18/2019
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