Brooke M Threlkeld, PsyD
Psychologist, Clinical Child & Adolescent in Louisville, KY. Individual provider (NPI-1).
NPI number1891190880
StatusActive
Last updated in NPPESMar 22, 2021
Details
- NPI
- 1891190880
- Entity type
- Individual (NPI-1)
- Name
- Brooke M Threlkeld
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2014
- Certification date
- Mar 22, 2021
- Last updated
- Mar 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | PSYLIP00211374 | KY | Yes |
Practice location
411 E Chestnut StLouisville, KY 40202-1713
Phone 502-588-0800 · Fax 502-588-0801
Mailing address
Po Box 776879Chicago, IL 60677-6879
Phone 502-588-9490 · Fax 502-272-5116
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