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Contact Information

BENJAMIN W BIRKBY, PSY.D.
6500 GLENRIDGE PARK PL
SUITE 3
LOUISVILLE, KY40222-3450
 Phone: 502-417-5217
 Fax:
 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 BENJAMIN W BIRKBY · (Male)

NPI # 1326382029
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 11/19/2012
Last updated 11/19/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1225
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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