Individual
LINDA BIDDLE CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7982 NEW LAGRANGE RD, SUITE 4, LOUISVILLE, KY 40222
(502) 426-6022
(502) 426-9913
Mailing address
7982 NEW LAGRANGE RD, SUITE 4, LOUISVILLE, KY 40222
(502) 426-6022
(502) 426-9913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039631
BLUE CROSS BLUE SHIELD
KY
01
—
089442000
MAGELLAN
KY
01
—
102176
VALUE OPTIONS
—
01
—
1200884
CMA
KY
01
—
418667
PHCS
KY
01
—
85164
HEALTH MINDERS
KY
Enumeration date
11/07/2006
Last updated
07/12/2010
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