Organization
FAMILY & CHILDREN BEHAVIOR HEALTH SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARANISE COLBERT BOOKER M.D. (PRESIDENT)
(502) 777-7708
Entity
Organization
Contact information
Practice address
302 E BRECKINRIDGE ST, LOUISVILLE, KY 40203-2328
(502) 777-7708
Mailing address
302 E BRECKINRIDGE ST, LOUISVILLE, KY 40203-2328
(502) 777-7708
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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