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General NPI Number Information
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NPI Number | 1437250602
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Entity Type | Individual
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Provider Name | MABLE ROWE LINEBERGER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 101 E COLLEGE ST #1
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City | GEORGETOWN
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State | KY
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Zip | 40324-1603
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Country | US
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Telephone | 502-570-8400
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Fax | 502-570-9221
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Provider Business Mailing Address
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Address Line | 101 E COLLEGE ST #1
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City | GEORGETOWN
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State | KY
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Zip | 40324-1603
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Country | US
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Telephone | 502-570-8400
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Fax | 502-570-9221
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 0822
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 0822
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0822
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 0822
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0822
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License Number State | KY
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