Individual
DR. DANIEL G. GATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., CADC
Contact information
Practice address
130 S JOE B HALL AVE, SHEPHERDSVILLE, KY 40165-6009
(502) 955-6447
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1042
KY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
KY-1042
KY
103TC0700X
Clinical Psychologist
KY-1042
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P300014754
MEDICARE PTAN
KY
Enumeration date
03/24/2007
Last updated
07/29/2016
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