Individual provider · Type 1 NPI

Manoocher Mofidi, MD

Child & Adolescent Psychiatry Physician · Louisville, KY

NPI number 1013934959 Active

Practice location

2225 W Broadway
Louisville, KY 40211-1003

Call (502) 589-8600 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X01037544A (IN)
Child & Adolescent Psychiatry Physician Primary 2084P0804X25630 (KY)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1013934959

Manoocher Mofidi, MD's National Provider Identifier is 1013934959, issued on Jul 16, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Louisville, KY. The record was last updated on Feb 13, 2013.