Individual
DR. THOMAS JOSEPH BIVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
11824 RANSUM DR, LOUISVILLE, KY 40243
(502) 338-0608
Mailing address
11824 RANSUM DR, LOUISVILLE, KY 40243
(502) 338-0608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
293913
KY
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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