Blanford Pediatric Therapy LLC

NPI #1093220741 in Bardstown, Kentucky

Provider Information

NPI Number: 1093220741
Entity Type: Organization
Organization Name: Blanford Pediatric Therapy LLC
Primary Specialty: Social Worker
Enumeration Date: Dec 4, 2017
Last Updated: Aug 31, 2023

Practice Location

Address: 201 S 5TH ST
City: Bardstown
State: Kentucky
ZIP Code: 40004-1142
Phone: (502) 331-5478

Authorized Official

Name: ANGIE BOLTWOOD
Title: BILLING MANAGER
Phone: (770) 530-9051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Counselor	101Y00000X
Behavior Analyst	103K00000X
Assistant Behavior Analyst	106E00000X
Social Worker	104100000X	Primary

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