Mindy Craft, PSYD
Individual provider Active NPI Psychologist · Williamstown, KY
NPI 1386727907 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386727907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2006-59 (KY)
- Practice address
- 308 Barnes Pike
Williamstown, KY 41097 - Phone
- (859) 824-4442
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-59 | KY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2006-59 | KY | Yes |
Addresses
Primary practice location
308 Barnes Pike
Williamstown, KY 41097
Mailing address
308 Barnes Pike
Williamstown, KY 41097
Phone (859) 824-4442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184607 | Other | KY | MEDICARE GROUP NUMBER |
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- Linda Creevy
- David E. Ison, DMD, PSC
- Ashley Nicole De la Torre
- Donaldson Fowler LLC
- Stella Egan
All providers in Williamstown, KY · Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.