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NPI Code Detail

MEDICARE: DR. MEGAN VIAR PAXTON PH.D.

MEDICARE:  DR. MEGAN VIAR PAXTON  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist168709KY

General Provider Information

NPI Number : 1578014783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN VIAR PAXTON PH.D.
Provider Business Mailing Address
First Line : 918 ORMSBY LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40242-4536
Country : US
Telephone Number : 502-327-4622
Fax Number : 502-327-4675
Provider Business Practice Location Address
First Line : 918 ORMSBY LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40242-4536
Country : US
Telephone Number : 502-327-4622
Fax Number : 502-327-4675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 03/06/2026

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Directions to “ DR. MEGAN VIAR PAXTON PH.D.” Practice Location

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