Individual
DAVID BIRDWHISTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
KADEN TOWER STE 303, 6100 DUTCHMAN'S LANE, LOUISVILLE, KY 40205-3284
(502) 896-1850
(502) 896-6863
Mailing address
4701 S RUTLAND AVE, LOUISVILLE, KY 40215-2461
(502) 235-3334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4875
KY
1041C0700X
Clinical Social Worker
Primary
3399
KY
Other
Enumeration date
03/05/2007
Last updated
09/20/2010
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