Baker, Ryan Burdelle
Baker, Ryan Burdelle is an individual health care provider with primary practice located at 914 E Broadway 2Nd Floor, Louisville KY 40204-1037. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Baker, Ryan Burdelle can be contacted via phone (502) 589-1100.Contact Information
Primary practice address
914 E Broadway 2Nd Floor
Louisville KY 40204-1037
Phone: (502) 589-1100
Fax: (502) 589-8771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 130398 | Kentucky |
Profile Details
| NPI number | 1699975417 |
|---|---|
| LBN Legal business name | Baker, Ryan Burdelle |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Jun 23rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699975417 | NPPES |
| Kentucky | MEDICAID | 7100284870 |
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