| Cumberland Valley Psychiatry Pllc | |
|
202 W 7th St Suite 113 London KY 40741-1763 | |
| (606) 864-0510 | |
| (606) 864-0512 |
| Full Name | Cumberland Valley Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 202 W 7th St, London, Kentucky |
| Authorized Official Name and Position | Prathiba Ram (OWNER/MEMBER) |
| Authorized Official Contact | 6068640510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Valley Psychiatry Pllc 202 W 7th St Suite 113 London KY 40741-1763 Ph: (606) 864-0510 | Cumberland Valley Psychiatry Pllc 202 W 7th St Suite 113 London KY 40741-1763 Ph: (606) 864-0510 |
| NPI Number | 1093907081 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093907081 | NPI | - | NPPES |
| 64129547 | Medicaid | KY | |
| 000000542702 | Other | KY | BCBS OF KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 40211 (Kentucky) | Primary |
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