Organization
UNIVERSITY PSYCHIATRIC SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN TASMAN M.D. (PRESIDENT)
(502) 852-5392
Entity
Organization
Contact information
Practice address
550 S JACKSON ST, ATTENTION: JENNIFER FOLEY, LOUISVILLE, KY 40202-1622
(502) 813-6655
(502) 813-6665
Mailing address
PO BOX 69, ATTENTION JENNIFER FOLEY, LOUISVILLE, KY 40201-0069
(502) 812-6655
(502) 813-6665
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65907198
—
KY
01
—
C11618
RAILROAD MEDICARE
KY
01
—
CC3957
RAILROAD MEDICARE
KY
Enumeration date
02/03/2006
Last updated
03/17/2010
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