Individual
DR. MEGHANA SUCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2325 LIME KILN LN STE A, LOUISVILLE, KY 40222-3418
(502) 912-1498
Mailing address
4010 DUPONT CIR, STE 574, LOUISVILLE, KY 40207-4843
(502) 912-1498
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
174664
KY
103TC0700X
Clinical Psychologist
Primary
174664
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003458605
TYPE 11 NPI
KY
Enumeration date
03/11/2015
Last updated
08/05/2021
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