NPI | 1790057313 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA L. LANDRY Owner/Provider 859-273-1288 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
1041C0700X Social Worker, Clinical | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2012-01-27 |
Last Update Date | 2019-08-23 |