Individual
ANGELA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8105 WINDSOR LAKES CT, LOUISVILLE, KY 40214-4478
(502) 935-4140
(502) 995-7199
Mailing address
8105 WINDSOR LAKES CT, LOUISVILLE, KY 40214-4478
(502) 935-4140
(502) 995-7199
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239
FIRST STEPS PROVIDER ID
KY
Enumeration date
05/10/2007
Last updated
01/29/2015
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