Organization
UNDERWOOD PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLEN UNDERWOOD PH.D. (LICENSED PSYCHOLOGIST)
(502) 314-0546
Entity
Organization
Contact information
Practice address
1700 UPS DR STE 208, LOUISVILLE, KY 40223-5014
(502) 412-9197
Mailing address
17322 CURRY BRANCH RD, LOUISVILLE, KY 40245-7500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1330
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467444125
INDIVIDUAL NPI
—
Enumeration date
04/20/2011
Last updated
05/18/2011
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