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1902007495
DANNY K VANDIVIER
LOUISVILLE, KY
NPI
1902007495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 0528)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
-- DANNY K VANDIVIER PhD
903 BAXTER AVE
LOUISVILLE, KY 40204-2046
Phone number: 502-458-7366
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Mailing Address
-- DANNY K VANDIVIER PhD
903 BAXTER AVE
LOUISVILLE, KY 40204-2046
Phone number: 502-458-7366
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