Healthcare Provider Details

I. General information

NPI: 1801629308
Provider Name (Legal Business Name): CLAUDIA DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 WILLOW WAY
BOWLING GREEN KY
42103-1454
US

IV. Provider business mailing address

1412 WILLOW WAY
BOWLING GREEN KY
42103-1454
US

V. Phone/Fax

Practice location:
  • Phone: 205-238-9201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20044033A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: