Individual
DR. VICKI VAN CLEAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1306A E BROADWAY ST, CAMPBELLSVILLE, KY 42718-1561
(270) 215-2373
(270) 283-4145
Mailing address
132 PEARL AVE, CAMPBELLSVILLE, KY 42718
(804) 245-4311
(540) 350-2902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810003638
VA
103TC0700X
Clinical Psychologist
1601
KY
103TC0700X
Clinical Psychologist
2472
CO
103TC0700X
Clinical Psychologist
324
MT
103TC0700X
Clinical Psychologist
Primary
KY1601
KY
Other
Enumeration date
05/25/2007
Last updated
08/19/2019
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