| Meghana Suchak Phd, Llc | |
|
4010 Dupont Cir Ste 574 Louisville KY 40207-4843 | |
| (502) 912-1498 | |
| Not Available |
| Full Name | Meghana Suchak Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4010 Dupont Cir Ste 574, Louisville, Kentucky |
| Authorized Official Name and Position | Britte Purtee (OFFICE MANAGER) |
| Authorized Official Contact | 3178893166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meghana Suchak Phd, Llc 4010 Dupont Cir Ste 574 Louisville KY 40207-4843 Ph: (502) 912-1498 | Meghana Suchak Phd, Llc 4010 Dupont Cir Ste 574 Louisville KY 40207-4843 Ph: (502) 912-1498 |
| NPI Number | 1003458605 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 07/16/2021 |
| Certification Date | 07/16/2021 |
| Medicare PECOS PAC ID | 0749617603 |
|---|---|
| Medicare Enrollment ID | O20200305001876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003458605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Meghana Suchak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346633674 PECOS PAC ID: 1850612193 Enrollment ID: I20190731001932 |
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