Individual
ALLYSON NICOLE BRADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD,
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 592-1736
Mailing address
1401 SYLVAN WAY, LOUISVILLE, KY 40205-2476
(502) 592-1736
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY-1706
KY
Other
Enumeration date
02/04/2011
Last updated
04/17/2013
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