| Dr Robert L From-tapp, PSYD | |
|
1326 S 3rd St, Louisville, KY 40208-2306 | |
| (502) 551-6668 | |
| (502) 479-3561 |
| Full Name | Dr Robert L From-tapp |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1326 S 3rd St, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295082444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 164198 (Kentucky) | Primary |
| Entity Name | Revitalist |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073168241 PECOS PAC ID: 6800295650 Enrollment ID: O20210803003234 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert L From-tapp, PSYD 6024 Cherry Ln, Crestwood, KY 40014-9414 Ph: (502) 551-6668 | Dr Robert L From-tapp, PSYD 1326 S 3rd St, Louisville, KY 40208-2306 Ph: (502) 551-6668 |
Mary K Thompson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Baxter Ave, Louisville, KY 40204 Phone: 502-458-7366 Fax: 502-458-7362 | |
Dr. Ann M Brian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1909 Richmond Dr, Louisville, KY 40205 Phone: 502-451-8816 | |
Mr. Jeffery T Mercer, MA Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11003 Perwinkle Ln, Louisville, KY 40291 Phone: 502-618-2620 | |
Dr. Nicholas Bach, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Evergreen Rd Ste 104, Louisville, KY 40243 Phone: 502-203-0838 | |
Dr. Stacy Lyn Cambron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7982 New Lagrange Rd, Suite 4, Louisville, KY 40222 Phone: 502-426-6022 Fax: 502-426-9913 | |
Dr. Louis Earl Epstein, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3333 Bardstown Road, Louisville, KY 40218 Phone: 502-459-7433 Fax: 502-459-5650 | |
Ms. Sandra Ellen Freedman, PSYCH. ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9702 Stonestreet Rd, Ste. 110, Louisville, KY 40272 Phone: 502-589-8600 Fax: 502-589-8771 |