Individual
DR. MICHAEL BRENT YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
214 BRECKENRIDGE LN, SUITE 214, LOUISVILLE, KY 40207-3868
(502) 727-1038
Mailing address
214 BRECKENRIDGE LN, SUITE 214, LOUISVILLE, KY 40207-3868
(502) 727-1038
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
87000141A
IN
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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