Provider Demographics
NPI:1235272832
Name:COLBERT-TROWEL, DANYA' NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANYA'
Middle Name:NICOLE
Last Name:COLBERT-TROWEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:DANYA'
Other - Middle Name:NICOLE
Other - Last Name:TROWEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1434
Mailing Address - Country:US
Mailing Address - Phone:502-479-4433
Mailing Address - Fax:502-451-5949
Practice Address - Street 1:2020 NEWBURG RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1803
Practice Address - Country:US
Practice Address - Phone:502-479-4433
Practice Address - Fax:502-451-5949
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY428912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100127770Medicaid
IN201000710AMedicaid
KYP400025309Medicare Oscar/Certification