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Individual

DR. BETH E BRINSKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
75 CAVALIER BLVD STE 300, FLORENCE, KY 41042-3950
(859) 283-2892
(859) 283-2897
Mailing address
75 CAVALIER BLVD STE 300, FLORENCE, KY 41042-3950
(859) 283-2892
(859) 283-2897

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0833
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
089418000
MAGELLAN MIS
01
1467
ALLIANCE BEHAVIORAL CARE
01
22000000019998
ANTHEM PROV. NUMBER
KY
Enumeration date
05/19/2006
Last updated
07/28/2009
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