Most Relevant Information
Provider Data
| NPI Number: | 1003232604 |
| Provider Name: | JOSEPH D'AMBROSIO PHD, LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 0796 |
Most Important Dates
| Enumeration Date: | 03/07/2014 |
| Last Updated: | 03/16/2021 |
Provider Practice Location
204 E MARKET ST STE A
LOUISVILLE
KY
402021218
Practice Location Phone/Fax
| Phone: | 5025884340 |
| Fax: |
Provider Mailing Location
PO BOX 909
LOUISVILLE
KY
402010909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |