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Developmental - Behavioral Pediatrics Physician · LOUISVILLE, KY
Organization Active NPI 1063202794
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | ✓ | — | — |
| Clinical Neuropsychologist | 103G00000X | — | — | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.