NORTON CHILDREN'S MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1548802549
Doing Business AsNORTON CHILDREN'S AUTISM CENTER
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy2080P0006X Pediatrics Developmental - Behavioral Pediatrics
Additional Taxonomies103K00000X Behavior Analyst
103T00000X Psychologist
103TB0200X Psychologist Cognitive & Behavioral
103TC0700X Psychologist Clinical
103TC2200X Psychologist Clinical Child & Adolescent
208000000X Pediatrics
2084P0800X Psychiatry & Neurology Psychiatry
225X00000X Occupational Therapist
225XP0200X Occupational Therapist Pediatrics
235Z00000X Speech-Language Pathologist
363A00000X Physician Assistant
363AM0700X Physician Assistant Medical
363AS0400X Physician Assistant Surgical
363L00000X Nurse Practitioner
Enumeration Date2019-10-10
Last Update Date2022-04-01
Business Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY 40241-3068
Phone number: 502-272-5336
Mailing Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5336