IndividualActive
Brandon Bumbalough
NPI 1497200562 · Clinical Psychologist · Hazard, KY
Provider details
- NPI number
- 1497200562
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 168689 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
115 Rockwood Ln
Hazard, KY 41701-9415
Phone: (606) 436-5761
Fax: (606) 436-5797
Approximate (ZIP-level) locationGet directions
Mailing address
115 Rockwood Ln
Hazard, KY 41701-9415
Registry dates
- Enumerated
- 2016-08-18
- Last updated
- 2016-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.