Individual
DR. MICHAEL LOUIS DIBIASIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
101 WIND HAVEN DR # A, 104, NICHOLASVILLE, KY 40356-8035
(859) 536-2015
(859) 309-0895
Mailing address
101 WIND HAVEN DR # A, SUITE 104, NICHOLASVILLE, KY 40356-8035
(858) 536-2015
(859) 309-0895
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
955
KY
Other
Enumeration date
02/02/2007
Last updated
11/20/2014
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