Individual
ZACHARY JAMES THIENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4010 DUPONT CIR, SUITE 409, LOUISVILLE, KY 40207-4812
(502) 409-4204
Mailing address
4010 DUPONT CIR, SUITE 409, LOUISVILLE, KY 40207-4812
(502) 409-4204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
170670
KY
Other
Enumeration date
02/02/2012
Last updated
01/27/2017
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