Organization
ASCB THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A BROWN (MEMBER)
(502) 235-2428
Entity
Organization
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 864-6695
(888) 830-3233
Mailing address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(502) 235-2428
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
04/16/2020
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