| NPI | 1568593176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED ROBERT OSSEGE Licensed Clinical Social Worker 859-442-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 993) |
| 1041C0700X Social Worker, Clinical (Licence: KY 1971) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-04-12 |