Search › Kentucky › 103TC0700X
Bethany Simon
NPI 1154757953 · on the registry since 2013
Practice
- Address
- 633 Baxter Ave
Louisville, KY 40204 - Phone
- (502) 309-2408
- Fax
- (502) 771-4283
- Organisation at this address
- Mandala House, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky