Organization
HEALTH PSYCHOLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R MONSMA PH.D. (OWNER / PSYCHOLOGIST)
(502) 413-5228
Entity
Organization
Contact information
Practice address
101 CRESCENT AVE STE A, LOUISVILLE, KY 40206-1512
(502) 413-5228
(502) 413-5995
Mailing address
PO BOX 8116, LOUISVILLE, KY 40257-8116
(502) 413-5228
(502) 413-5995
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
0867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100112570
—
KY
01
—
DQ6556
RR MEDICARE
KY
Enumeration date
06/29/2009
Last updated
01/11/2011
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