| Doctor Name: | AMITA GHOSH |
| NPI Number: | 1447203906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. |
| License Number: | 1306 |
| Business Practice Address: | 305 Artillery Park Dr Suite 102 Fort Mitchell, KY - 410172781 |
| Business Phone Number: | 8593911255 |
| Business Fax Number: | 8594260042 |
| Mailing Address: | 305 Artillery Park Dr, Suite 102 FORT MITCHELL |
| State: | KY |
| Postal Code: | 410172781 |
| Phone Number: | 8593911255 |
| Fax Number: | 8594260042 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 09/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |