Individual
MINDY CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
308 BARNES PIKE, WILLIAMSTOWN, KY 41097
(859) 824-4442
Mailing address
308 BARNES PIKE, WILLIAMSTOWN, KY 41097
(859) 824-4442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2006-59
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
10/24/2006
Last updated
07/08/2007
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