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Organization

SENSIBLE PSYCHIATRIC SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC F. LYDON M.D. (OWNER)
(502) 894-6066
Entity
Organization

Contact information

Practice address
4010 DUPONT CIR, SUITE 300, LOUISVILLE, KY 40207-4812
(502) 894-6066
(502) 371-5451
Mailing address
4010 DUPONT CIR, SUITE 300, LOUISVILLE, KY 40207-4812
(502) 894-6066
(502) 371-5451

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3479
KY
2084P0800X
Psychiatry Physician
Primary
39958
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2778613000
PASSPORT
Enumeration date
05/30/2006
Last updated
01/15/2020
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