| NPI | 1639399249 |
|---|---|
| Doing Business As | KENTUCKIANA PSYCHOTHERAPY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JACOBS SINGER Office Manager 502-499-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 22242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 425) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-03-10 |