NPI | 1407024664 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH H HERSH Director 502-852-7897 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: KY 20137) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: KY 1085) |
225XP0200X Occupational Therapist, Pediatrics (Licence: KY R0815) | |
235Z00000X Speech-Language Pathologist, (Licence: KY 583) | |
Enumeration Date | 2008-02-11 |
Last Update Date | 2008-02-11 |