Organization
MOHAMMAD A. MIAN, MD PSC
Active
Other names
KENTUCKIANA PSYCHOTHERAPY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE JACOBS SINGER (OFFICE MANAGER)
(502) 499-9993
Entity
Organization
Contact information
Practice address
9017 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1749
(502) 499-9993
(502) 495-0758
Mailing address
9017 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1749
(502) 499-9993
(502) 495-0758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
425
KY
174400000X
Specialist
Primary
22242
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116470
—
IN
05
—
200055430
—
IN
05
—
64222425
—
KY
05
—
65917932
—
KY
05
—
82004250
—
KY
05
—
82900036
—
KY
Enumeration date
04/26/2007
Last updated
03/10/2008
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