Individual
MATTHEW IAN HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
10100 LINN STATION RD STE 1A, LOUISVILLE, KY 40223-3861
(502) 909-0772
(855) 859-0123
Mailing address
12300 PLANTSIDE DR, LOUISVILLE, KY 40299-6345
(502) 909-0772
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
293310
KY
2255A2300X
Athletic Trainer
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
—
Other
Enumeration date
02/18/2022
Last updated
11/01/2024
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