Organization
PEDIATRIC PSYCHOLOGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L. MCGRAW PSYD (OWNER/PHYSICIAN)
(502) 429-5431
Entity
Organization
Contact information
Practice address
9700 PARK PLAZA AVE, SUITE 106, LOUISVILLE, KY 40241-2236
(502) 429-5431
(502) 429-5495
Mailing address
9700 PARK PLAZA AVE, SUITE 106, LOUISVILLE, KY 40241-2236
(502) 429-5431
(502) 429-5495
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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