Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1241 | KY |
Y | 103T00000X | Psychologist | 1241 | KY |
N | 102L00000X | Psychologist | 20040794A | IN |
N | 103T00000X | Psychologist | 20040794A | IN |
NPI | 1003113523 |
---|---|
Provider Name | Dr. Ann M Brian |
First Address | Louisville, KY 40205-1411 |
Second Address | Louisville, KY 40205-1411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2011 |
Last Update Date | 18/02/2011 |