| Western Kentucky Centre For Psychiatric Medicine Pllc | |
|
7805 Hanson Rd Hanson KY 42413-9524 | |
| (270) 322-1122 | |
| (270) 322-1155 |
| Full Name | Western Kentucky Centre For Psychiatric Medicine Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7805 Hanson Rd, Hanson, Kentucky |
| Authorized Official Name and Position | Lawrence E Suess (PRESIDENT) |
| Authorized Official Contact | 2703221122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Kentucky Centre For Psychiatric Medicine Pllc 7805 Hanson Rd Hanson KY 42413-9524 Ph: (270) 322-1122 | Western Kentucky Centre For Psychiatric Medicine Pllc 7805 Hanson Rd Hanson KY 42413-9524 Ph: (270) 322-1122 |
| NPI Number | 1003991621 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003991621 | NPI | - | NPPES |
| 65942765 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Mobile Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Leroy Road, Hanson, KY 42413 Phone: 270-875-2544 Fax: 270-342-5411 |