Organization
KENTUCKIANA PSYCHOTHERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD A MIAN MD (PSYCHIATRIST)
(502) 499-9993
Entity
Organization
Contact information
Practice address
9017 TAYLORSVILLE RD, LOUISVILLE, KY 40242
(502) 499-9993
(502) 495-0758
Mailing address
9017 TAYLORSVILLE RD, LOUISVILLE, KY 40242
(502) 499-9993
(502) 495-0758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82004250
—
KY
Enumeration date
09/21/2006
Last updated
08/12/2008
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