Organization
BINGHAM CHILDGUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN M JOSEPHSON MD (DIRECTOR/CEO)
(502) 852-1022
Entity
Organization
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 852-6941
(502) 852-1055
Mailing address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 852-6941
(502) 852-1055
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65908543
—
KY
Enumeration date
09/28/2006
Last updated
09/11/2025
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