Individual
MRS. REBECCA L BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6100 DUTCHMANS LN, SUITE # 303, LOUISVILLE, KY 40205-3284
(502) 896-1850
(502) 896-6863
Mailing address
6100 DUTCHMANS LN, SUITE # 303, LOUISVILLE, KY 40205-3284
(502) 896-1850
(502) 896-6863
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
109
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225352
ANTHEM
—
01
—
458695
VALUE OPTIONS
—
Enumeration date
01/09/2007
Last updated
11/29/2010
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