Laverne Wheatley-Terry

Individual provider Active NPI Marriage & Family Therapist · Taylorsville, KY

NPI 1194064501 · NPPES record last updated Feb 5, 2013

Key facts

NPI
1194064501
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
0156 (KY)
Practice address
80 E Main St
#4
Taylorsville, KY 40071-8609
Phone
(502) 589-8600
Fax
(502) 589-8771
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0156KYMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0156 KY Yes

Addresses

Primary practice location

80 E Main St
#4
Taylorsville, KY 40071-8609

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Other providers in Taylorsville, KY

All providers in Taylorsville, KY · Marriage & Family Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.