Provider Demographics
NPI:1821399734
Name:NORTHERN KENTUCKY UNIVERSITY
Entity Type:Organization
Organization Name:NORTHERN KENTUCKY UNIVERSITY
Other - Org Name:NKU HEALTH COUNSELING & PREVENTION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, HEALTH SVC
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:859-572-5650
Mailing Address - Street 1:PO BOX 168007
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75016-8007
Mailing Address - Country:US
Mailing Address - Phone:800-555-9073
Mailing Address - Fax:972-367-3452
Practice Address - Street 1:NUNN DRIVE
Practice Address - Street 2:UNIVERSITY CENTER #440
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41099
Practice Address - Country:US
Practice Address - Phone:859-572-5650
Practice Address - Fax:859-572-5615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty