Individual provider · Type 1 NPI

Sophia Douglas

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1124755806 Active

Practice location

204 E Market St Ste A
Louisville, KY 40202-1218

Call (502) 588-4340 Map

Mailing address

4822 Woodhill Ln Apt 303
Louisville, KY 40219-8318

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124755806

Sophia Douglas's National Provider Identifier is 1124755806, issued on Aug 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Aug 3, 2022.