Kuravackel, Grace Mathai
Kuravackel, Grace Mathai is an individual health care provider with primary practice located at 411 E Chestnut St , Louisville KY 40202-1713. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Kuravackel, Grace Mathai can be contacted via phone (502) 588-0736.Contact Information
Primary practice address
411 E Chestnut St
Louisville KY 40202-1713
Phone: (502) 588-0736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 0777 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 0777 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 128195 | Kentucky |
Profile Details
| NPI number | 1205814639 |
|---|---|
| LBN Legal business name | Kuravackel, Grace Mathai |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Oct 23rd, 2020 - about 6 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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