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MIDLANDS BEHAVIORAL MEDICINE NPI 1902092208


NPI Information

NPI: 1902092208
Provider Name: MIDLANDS BEHAVIORAL MEDICINE
Classification: Psychologist - 103TF0200X
Entity Type: Organization

Specialization: Forensic

Address:
1406 N MAIN STREET
WILLIAMSTOWN, KY
ZIP 41097
Phone: (859) 824-5444
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MIDLANDS BEHAVIORAL MEDICINE is a forensic psychologist in Williamstown, KY. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. MIDLANDS BEHAVIORAL MEDICINE NPI is 1902092208. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1406 N MAIN STREET
WILLIAMSTOWN, KY
ZIP 41097
Phone: (859) 824-5444
Fax: (859) 824-0960

The provider's authorized official is Judith W Noelker .
The authorized official title is Owner President and has the following contact phone number (859) 824-5444.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 9/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TF0200XPsychologistForensic177KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10964701MEDICARE UPINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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