Dennis, Brandon Charles

Dennis, Brandon Charles is an individual health care provider with primary practice located at 4950 Norton Healthcare Blvd Ste 305 , Louisville KY 40241. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Dennis, Brandon Charles can be contacted via phone (502) 394-6460.

Contact Information

Primary practice address
4950 Norton Healthcare Blvd Ste 305 Louisville KY 40241
Phone: (502) 394-6460
Fax: (502) 394-6465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1654 Kentucky
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1654 Kentucky

Profile Details

NPI number 1457679276
LBN Legal business name Dennis, Brandon Charles
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2010
Last updated Apr 24th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457679276 NPPES
Kentucky MEDICAID 7100435060 (KOHMG)
Kentucky MEDICAID 201398770A (KOHMG)
Kentucky Other K214080-KOHMG
Kentucky Other P017311-KOHMG

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