Individual
ELIZABETH UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 GOLDSMITH LN, LOUISVILLE, KY 40218-2066
(502) 636-3207
(502) 636-0024
Mailing address
1906 GOLDSMITH LN, LOUISVILLE, KY 40218-2066
(502) 636-3207
(502) 636-0024
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201169797
KY
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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