Individual
MABLE ROWE LINEBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
101 E COLLEGE ST, #1, GEORGETOWN, KY 40324-1603
(502) 570-8400
(502) 570-9221
Mailing address
101 E COLLEGE ST, #1, GEORGETOWN, KY 40324-1603
(502) 570-8400
(502) 570-9221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0822
KY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0822
KY
103TB0200X
Cognitive & Behavioral Psychologist
0822
KY
103TC0700X
Clinical Psychologist
0822
KY
103TC2200X
Clinical Child & Adolescent Psychologist
0822
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069184
BLUE CROSS BLUE SHIELD
KY
01
—
044704
VALUE-OPTIONS
KY
01
—
6102963
UNITED BEHAVIORAL HEALTH
KY
01
—
93015
MENTAL HEALTH NETWORK
KY
01
—
C61009
CUMBERLAND HEALTHCARE
KY
01
—
K013663
CHAMPUS
KY
01
—
TKY 2054
CLEARSPRINGS
KY
Enumeration date
09/26/2006
Last updated
09/11/2025
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