Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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East Louisville Interventional Pain Specialists, PLLC

Organization Clinical Psychologist · NPI 1043576572

East Louisville Interventional Pain Specialists, PLLC is a Clinical Psychologist in Louisville, Kentucky. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4203 Springhurst Blvd Ste 101
Louisville, KY 40241-6140
Phone: (502) 836-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Clinical Psychologist Taxonomy 103TC0700X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1043576572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bill Haney — Owner · (502) 836-1171
NPI enumeratedApril 10, 2012
Last updated in NPPESJanuary 3, 2017
Mailing address4205 Springhurst Blvd, Suite 101, Louisville, KY 40241-6158

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