IndividualActive
Tatyana Rybakova
NPI 1982615860 · Child & Adolescent Psychiatry Physician · La Grange, KY
Provider details
- NPI number
- 1982615860
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 39344 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2141 Spencer Ct
La Grange, KY 40031-6742
Phone: (502) 589-8600
Fax: (502) 589-8771
Approximate (ZIP-level) locationGet directions
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1954
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2014-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.