Organization
LARRY M. RASKIN, PH.D., P.S.C.
Active
Other names
Psychology Resource Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY M. RASKIN PH.D. (PRESIDENT)
(502) 394-9990
Entity
Organization
Contact information
Practice address
7400 NEW LAGRANGE RD, SUITE 312, LOUISVILLE, KY 40222-4870
(502) 394-9990
(502) 394-9990
Mailing address
7400 NEW LAGRANGE RD, SUITE 312, LOUISVILLE, KY 40222-4870
(502) 394-9990
(502) 394-9990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241408000
MAGELLAN GROUP NUMBER
KY
Enumeration date
01/05/2006
Last updated
01/06/2011
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