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Contact Information

JASON KELLER, PSY.D., PLLC
1512 CRUMS LN
SUITE 305
LOUISVILLE, KY40216-3861
 Phone: 502-322-4884
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for JASON KELLER, PSY.D., PLLC

NPI Number 1417266578
LBN Legal business name JASON KELLER, PSY.D., PLLC
Authorized official JASON KELLER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2010
Last updated 10/06/2010 - About 16 years ago
Identifiers
KY License # 1548
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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