Provider Demographics
NPI:1609404227
Name:DELAFIELD, DON P (M DIV, LMFT)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:P
Last Name:DELAFIELD
Suffix:
Gender:M
Credentials:M DIV, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 COACHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3438
Mailing Address - Country:US
Mailing Address - Phone:502-664-2461
Mailing Address - Fax:
Practice Address - Street 1:731 SPECKMAN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-2826
Practice Address - Country:US
Practice Address - Phone:502-313-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY105460106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist