Dwight M. Trabue, LMFT
Individual provider Active NPI Marriage & Family Therapist · Alvaton, KY
NPI 1659593176 · NPPES record last updated Jan 10, 2014
Key facts
- NPI
- 1659593176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0186 (KY)
- Practice address
- 9940 Alvaton Rd
Alvaton, KY 42122-9657 - Phone
- (270) 746-6600
- Fax
- (270) 842-9008
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0186 | KY | MD | Cognitive & Behavioral Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0186 | KY | Yes |
Addresses
Primary practice location
9940 Alvaton Rd
Alvaton, KY 42122-9657
Mailing address
9940 Alvaton Rd
Alvaton, KY 42122-9657
Phone (270) 746-6600
Other providers in Alvaton, KY
- Rebecca O'Bryan Therapy Services
- South Central Anesthesia Associates Inc
- Southern Kentucky Nutrition Professionals
- Amanda L Tittle
- Tatiana Tomovic
- Jan Marie Trabue
- Melissa Walters
- Serena J Wheeler
- Alicia Williams
- Lindsey L Young
All providers in Alvaton, KY · Marriage & Family Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2014. 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.