Healthcare Provider Details

I. General information

NPI: 1821888504
Provider Name (Legal Business Name): DAVID CAUSEY DR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 DUTCHMANS PKWY
LOUISVILLE KY
40205-3352
US

IV. Provider business mailing address

6440 DUTCHMANS PKWY
LOUISVILLE KY
40205-3352
US

V. Phone/Fax

Practice location:
  • Phone: 502-896-2606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number128110
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: