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Organization

UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.

Active
Other names
ULP Child & Adolescent Psychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN ELLIOTT (VP OF HR)
(502) 588-4206
Entity
Organization

Contact information

Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 852-6941
(502) 852-1055
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
363L00000X
Nurse Practitioner

Other

Enumeration date
11/05/2012
Last updated
11/05/2012
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