Organization
CHESTNUT PARK PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORRIE J VOS PH.D. (OWNER)
(270) 782-1116
Entity
Organization
Contact information
Practice address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Mailing address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0670
KY
Other
Enumeration date
02/13/2007
Last updated
04/12/2012
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