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Contact Information

JESSICA K BEAL KORHONEN, PSY.D.
210 E. GRAY ST.
SUITE 601
LOUISVILLE, KY40202-3902
 Phone: 502-588-3600
 Fax: 502-588-9536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JESSICA K BEAL KORHONEN · (Female)

NPI # 1255590212
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 06/05/2008
Last updated 07/08/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1505
  • IN Medicaid 200940980
  • KY Medicaid 7100069970
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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