Provider Demographics
NPI:1669634366
Name:POSITIVE EXPECTATIONS, PSC
Entity Type:Organization
Organization Name:POSITIVE EXPECTATIONS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:L
Authorized Official - Last Name:STANDAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-817-4241
Mailing Address - Street 1:2801 OLD SLIGO RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-8029
Mailing Address - Country:US
Mailing Address - Phone:502-817-4241
Mailing Address - Fax:
Practice Address - Street 1:2801 OLD SLIGO RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-8029
Practice Address - Country:US
Practice Address - Phone:502-817-4241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1918252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency