Individual
RAFAEL VEROSLAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 BENJAMIN LN STE 202, LOUISVILLE, KY 40222-4845
(502) 690-8024
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2013-98
KY
Other
Enumeration date
03/21/2014
Last updated
02/14/2018
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