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Organization

UNIVERSITY PSYCHIATRIC FOUNDATION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL THOMAS (BUSINESS ADMINISTRATOR)
(502) 588-4426
Entity
Organization

Contact information

Practice address
401 E CHESTNUT ST, SUITE 600, LOUISVILLE, KY 40202-5700
(502) 588-4425
Mailing address
PO BOX 3367, LOUISVILLE, KY 40201-3367
(502) 588-4425

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/05/2008
Last updated
05/22/2014
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