Individual
VALERIE FALLON BHAVISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
175 MARKET PLACE DR STE A, LOUISVILLE, KY 40229-4471
(502) 251-7002
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
16762
—
103TC0700X
Clinical Psychologist
Primary
130730
KY
103TC0700X
Clinical Psychologist
1709
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16762
PSYPACT-APIT
—
Enumeration date
06/08/2007
Last updated
10/29/2025
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