Provider Demographics
NPI:1982820270
Name:SAYLOR, KATHLEEN MARIE (EDD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARIE
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 BLUE VALE WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-3806
Mailing Address - Country:US
Mailing Address - Phone:502-426-2428
Mailing Address - Fax:502-395-0269
Practice Address - Street 1:1412 BLUE VALE WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-3806
Practice Address - Country:US
Practice Address - Phone:502-426-2428
Practice Address - Fax:502-395-0269
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY971103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0004471299OtherAETNA
KY611205789OtherCIGNA
KY69598337OtherUNITED BEHAVIORAL HEALTH
KY099581OtherVALUE OPTIONS
KY033762000OtherMAGELLAN
KY10654347061OtherHUMANA
KY611205789OtherBEHAVIORAL MEDICINE NETWO
KY6112057890001OtherCIGNA
KY22000000060009OtherANTHEM
KY000000049733OtherANTHEM
KY611205789BOtherHUMANA
KY22000000060009OtherANTHEM