| NPI | 1477603892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE RAE MELCHER Clinical Director 859-223-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: KY KY-0740) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-0436 (LPCC)) |
| 103T00000X Psychologist (Licence: KY KY-1170) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-12 |