Organization
PROFESSIONAL ASSESSMENT & THERAPEUTIC SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE PAUL CARNEY PHD (OWNER)
(270) 317-4198
Entity
Organization
Contact information
Practice address
1161 E BROADWAY, LOUISVILLE, KY 40204-1711
(502) 561-0952
Mailing address
920 LAWRENCE ST, BRANDENBURG, KY 40108-1400
(270) 317-4198
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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