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General NPI Number Information
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NPI Number | 1689220386
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Entity Type | Organization
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Legal Business Name | KATHRYN HAENDIGES PSYD
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Dates
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Enumeration Date | 08/18/2019
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 1941 BISHOP LN STE 711
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City | LOUISVILLE
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State | KY
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Zip | 40218-1937
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Country | US
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Telephone | 502-377-4758
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Fax |
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Provider Business Mailing Address
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Address Line | 1856 ALFRESCO PL
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City | LOUISVILLE
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State | KY
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Zip | 40205-1860
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Country | US
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Telephone | 502-377-4758
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN HAENDIGES
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Credential | PSYD
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Telephone | 502-377-4758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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