Individual
MS. MARY ELLEN BREHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
571 S FLOYD ST, SUITE 100, LOUISVILLE, KY 40202-3818
(502) 852-7897
(502) 852-2911
Mailing address
571 S FLOYD ST, SUITE 100, LOUISVILLE, KY 40202-3818
(502) 852-7897
(502) 852-2911
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2008-17
KY
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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