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Individual

DR. ANDREA OMIDY

Active
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Individual

DR. ANDREA OMIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1749
KY
103TC0700X
Clinical Psychologist
Primary
1749
KY
103TC1900X
Counseling Psychologist
1749
KY
103TC2200X
Clinical Child & Adolescent Psychologist
1749
KY
103TF0000X
Family Psychologist
1749
KY
103TH0004X
Health Psychologist
1749
KY
103TP2701X
Group Psychotherapy Psychologist
1749
KY

Other

Enumeration date
11/11/2011
Last updated
04/10/2014
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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