NPI 1093220741

Blanford Pediatric Therapy LLC

Organisation Social Worker Bardstown, KY

Practice location

Address: 201 S 5th St, Bardstown, KY 40004-1142
Phone: (502) 331-5478
Fax: (502) 385-0234

Authorised official

Name: Angie Boltwood
Title: Billing Manager
Phone: (770) 530-9051

Registered specialties (5)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1093220741
Entity type: Organization
NPI issued: 4 Dec 2017
Record last updated: 31 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.