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NPI Code Detail

MEDICARE: NORTHERN KENTUCKY UNIVERSITY

MEDICARE: NORTHERN KENTUCKY UNIVERSITY
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 Psychologist
21041C0700XClinical Social Worker
3363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1821399734
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN KENTUCKY UNIVERSITY
Provider Business Mailing Address
First Line : PO BOX 168007
Second Line :
City : IRVING
State : TX
Zip : 75016-8007
Country : US
Telephone Number : 800-555-9073
Fax Number : 972-367-3452
Provider Business Practice Location Address
First Line : NUNN DRIVE
Second Line : UNIVERSITY CENTER #440
City : HIGHLAND HEIGHTS
State : KY
Zip : 41099
Country : US
Telephone Number : 859-572-5650
Fax Number : 859-572-5615
Authorized Official
Title or Position : DIRECTOR, HEALTH SVC
Name : BARBARA SWEEN
Credential : PSYD
Telephone Number : 859-572-5650
Provider Enumeration Date : 11/09/2010
Last Update Date : 03/25/2014

Similar Medicare Providers

1346249760 — RACHEL BROERING NP
Practice Location Address:
460 UNIVERSITY DRIVE , NKU NUNN DRIVE - UNIVERSITY CENTER
HIGHLAND HEIGHTS, KY
41099-0001
Practice Phone: 859-578-5660
Practice Fax: 859-441-0454
1487674339 — MR. ERIC KENT BROOKS MA, ATC
Practice Location Address:
268 AHC, NUNN DR
HIGHLAND HEIGHTS, KY
41099
Practice Phone: 859-572-5921
Practice Fax:
1730227398 — MS. ROSE A TEMPEL NP
Practice Location Address:
460 UNIVERSITY DRIVE , NKU NUNN DRIVE - UNIVERSITY CENTER
HIGHLAND HEIGHTS, KY
41099-0001
Practice Phone: 859-578-5660
Practice Fax: 859-441-0454
1356571467 — MARY MONICA CLAIRE GRAY MFT
Practice Location Address:
NUNN DRIVE, UC 440 , HEALTH COUNSELING AND STUDENT WELLNESS
HIGHLAND HEIGHTS, KY
41099
Practice Phone: 859-572-5650
Practice Fax: 859-572-5615
1285935197 — LISA A BARRESI LCSW
Practice Location Address:
NUNN DRIVE , UNIVERSITY CENTER #440
HIGHLAND HEIGHTS, KY
41099
Practice Phone: 859-572-5650
Practice Fax: 859-572-5615
1093016909 — SIOBHAN RYAN-PERRY LCSW
Practice Location Address:
NUNN DRIVE , UNIVERSITY CENTER #440
HIGHLAND HEIGHTS, KY
41099
Practice Phone: 859-572-5650
Practice Fax: 859-572-5615

Directions to “NORTHERN KENTUCKY UNIVERSITY ” Practice Location

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