Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Active
Other names
Neonatal Follow Up Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH SCHUMACHER PHD (CO-DIRECTOR)
(502) 852-7049
Entity
Organization
Contact information
Practice address
2605 KENTUCKY AVE, STE 102, PADUCAH, KY 42003-3800
(502) 852-7049
(502) 852-0135
Mailing address
601 S FLOYD ST, STE 801, LOUISVILLE, KY 40202-1835
(502) 852-7049
(502) 852-0135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65916249
—
KY
Enumeration date
09/12/2011
Last updated
05/10/2012
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