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ERNESTO NILLAR-FONSECA, PSY.D.
PSY.D.
Clinical Psychologist
NPI: 1508003195IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical PsychologistPrimary
Psychologist — Clinical
Code: 103TC0700X
20043751A(IN)239702(KY)
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 2013
Contact & Hours
- Address
- 9824 COLLIER LN
LOUISVILLE, KY 40291 - Phone
- (502) 262-9487
Quick Facts
- NPI
- 1508003195
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 13
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