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NEUROSCIENCE AND BEHAVIORAL HEALTH ASSOCIATES

Clinical Neuropsychologist

Crestview Hills, Kentucky

Provider NPI: 1346431434

Organization Information:
Organization Name:  NEUROSCIENCE AND BEHAVIORAL HEALTH ASSOCIATES
Organization is not Subpart
Authorized Official:  DANIEL  GRIPSHOVER  NEUROPSYCHOLOGIST  859-4267800

Practice Location:
503 CENTRE VIEW BLVD  CRESTVIEW HILLS, KY 41017 US
Tel: 859-426-7800  Fax: 859-426-7804

Business Mailing Address:
503 CENTRE VIEW BLVD  CRESTVIEW HILLS, KY 41017 US
Tel: 859-426-7800  Fax: 859-426-7804

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
KYKY-1153

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM BEHAVIORAL HEALTH000000249594KY01
89000640KY05
CAQH11575268KY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS KY - Page 1



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