Doctor Name: | FAY C MCCUTCHAN |
NPI Number: | 1326067323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1986 |
Business Practice Address: | 6200 Crestwood Sta Suite A Crestwood, KY - 400147418 |
Business Phone Number: | 5022412909 |
Business Fax Number: | 5022416811 |
Mailing Address: | 3406 Indian Lake Dr, LOUISVILLE |
State: | KY |
Postal Code: | 402413406 |
Phone Number: | 5022907288 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |