Healthcare Provider Details

I. General information

NPI: 1841061546
Provider Name (Legal Business Name): OKSANA ZHURBICH PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 SPRINGHURST BLVD STE 202
LOUISVILLE KY
40241-6160
US

IV. Provider business mailing address

4205 SPRINGHURST BLVD STE 202
LOUISVILLE KY
40241-6160
US

V. Phone/Fax

Practice location:
  • Phone: 859-803-0420
  • Fax:
Mailing address:
  • Phone: 859-803-0420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number288115
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: