MABLE ROWE LINEBERGER PH.D. NPI 1437250602

NPI Information

NPI: 1437250602
Provider Name: MABLE ROWE LINEBERGER, PH.D.
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
101 E COLLEGE ST
#1
GEORGETOWN, KY
ZIP 40324
Phone: (502) 570-8400
Get Directions

Mable Rowe Lineberger, PH.D. is an addiction (substance use disorder) psychologist in Georgetown, KY. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. Mable Rowe Lineberger, PH.D. NPI is 1437250602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 E COLLEGE ST
#1
GEORGETOWN, KY
ZIP 40324-603
Phone: (502) 570-8400
Fax: (502) 570-9221

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	0822	KENTUCKY	Yes
2	103TB0200X	Psychologist	Cognitive & Behavioral	0822	KENTUCKY	X
3	103TC0700X	Psychologist	Clinical	0822	KENTUCKY	X
4	103TC2200X	Psychologist	Clinical Child & Adolescent	0822	KENTUCKY	X
5	103T00000X	Psychologist		0822	KENTUCKY	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CP00189	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE
2	TKY 2054	OTHER	KENTUCKY	CLEARSPRINGS
3	93015	OTHER	KENTUCKY	MENTAL HEALTH NETWORK
4	6102963	OTHER	KENTUCKY	UNITED BEHAVIORAL HEALTH
5	044704	OTHER	KENTUCKY	VALUE-OPTIONS
6	000000069184	OTHER	KENTUCKY	BLUE CROSS BLUE SHIELD
7	C61009	OTHER	KENTUCKY	CUMBERLAND HEALTHCARE
8	K013663	OTHER	KENTUCKY	CHAMPUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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