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Individual

MR. JAMES STEWART PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATR

Contact information

Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2288
(502) 585-9444
(502) 585-9466
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2288
(502) 585-9444
(502) 585-9466

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0601
KY
221700000X
Art Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9028
KY
Enumeration date
10/22/2007
Last updated
10/22/2007
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