| Mobile Psychology, Llc | |
|
345 Leroy Road Hanson KY 42413-9657 | |
| (270) 875-2544 | |
| (270) 342-5411 |
| Full Name | Mobile Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 345 Leroy Road, Hanson, Kentucky |
| Authorized Official Name and Position | Rita Marie Jungblom (OWNER) |
| Authorized Official Contact | 2708752544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Psychology, Llc 345 Leroy Road Hanson KY 42413-9657 Ph: (270) 875-2544 | Mobile Psychology, Llc 345 Leroy Road Hanson KY 42413-9657 Ph: (270) 875-2544 |
| NPI Number | 1669724357 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669724357 | NPI | - | NPPES |
| 7100240540 | Medicaid | KY | |
| 7100297310 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1355 (Kentucky) | Primary |
Western Kentucky Centre For Psychiatric Medicine Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7805 Hanson Rd, Hanson, KY 42413 Phone: 270-322-1122 Fax: 270-322-1155 | |
Evans Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Shakerag Rd, Hanson, KY 42413 Phone: 530-919-5243 |