Individual
DR. AESHA L UQDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
215 CENTRAL AVE STE 201, LOUISVILLE, KY 40208-1451
(502) 852-6585
Mailing address
215 CENTRAL AVE, SUITE 201--UNIVERSITY OF LOUISVILLE COUNSELING CENTER, LOUISVILLE, KY 40208
(502) 852-6585
(502) 852-0291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2009-14
—
103TC0700X
Clinical Psychologist
Primary
129003
KY
103TC0700X
Clinical Psychologist
2009-104
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
01/21/2010
Last updated
11/06/2017
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