Individual
TATYANA RYBAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 SPENCER CT, LA GRANGE, KY 40031-6742
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1954
(502) 589-8600
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
39344
KY
Other
Enumeration date
08/10/2006
Last updated
04/17/2014
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