D'Ambrosio, Joseph

D'Ambrosio, Joseph is an sole proprietor health care provider with primary practice located at 204 E Market St Ste A , Louisville KY 40202-1218. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. D'Ambrosio, Joseph can be contacted via phone (502) 588-4340.

Contact Information

Primary practice address
204 E Market St Ste A Louisville KY 40202-1218
Phone: (502) 588-4340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0796 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 255511 Kentucky

Profile Details

NPI number 1003232604
LBN Legal business name D'Ambrosio, Joseph
Credentials PHD, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2014
Last updated Mar 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003232604 NPPES
Kentucky Other K249310 MEDICARE
Kentucky MEDICAID 7100334890 MEDICARE

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