Underwood, Robert Allen

Underwood, Robert Allen is an individual health care provider with primary practice located at 220 Abraham Flexner Way 6Th Floor Psychology Department, Louisville KY 40202-3826. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Underwood, Robert Allen can be contacted via phone (502) 582-7484.

Contact Information

Primary practice address
220 Abraham Flexner Way 6Th Floor Psychology Department Louisville KY 40202-3826
Phone: (502) 582-7484
Fax: (502) 582-7646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1330 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 130491 Kentucky

Profile Details

NPI number 1467444125
LBN Legal business name Underwood, Robert Allen
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 17th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467444125 NPPES
Kentucky MEDICAID 7100438340 (KOHMG)
Kentucky MEDICAID 300001079-KOHMG
Kentucky MEDICAID 890006900

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