Organization
EAST END PSYCHOLOGICAL ASSOCIATES
Active
Organization
EAST END PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVEH ZAMANIAN PHD (PRINCIPAL PARTNER)
(502) 426-1234
Entity
Organization
Contact information
Practice address
6520 GLENRIDGE PARK PL, SUITE #1, LOUISVILLE, KY 40222-3453
(502) 426-1234
(502) 426-3388
Mailing address
6520 GLENRIDGE PARK PL, SUITE #1, LOUISVILLE, KY 40222-3453
(502) 426-1234
(502) 426-3388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1520
KY
103TC0700X
Clinical Psychologist
1592
KY
1041C0700X
Clinical Social Worker
3429
KY
1041C0700X
Clinical Social Worker
3446
KY
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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