Individual
BRIAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1161 E BROADWAY, LOUISVILLE, KY 40204-1711
(502) 561-0952
Mailing address
1218 E BURNETT AVE, LOUISVILLE, KY 40217-1524
(502) 594-7541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-1610
KY
Other
Enumeration date
11/06/2009
Last updated
07/10/2023
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