Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 259 | KY |
Y | 103T00000X | Psychologist | 259 | KY |
NPI | 1013002443 |
---|---|
Provider Name | Dr. Louis Earl Epstein |
First Address | Louisville, KY 40218 |
Second Address | Louisville, KY 40218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |