Individual
DR. SHELIZA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
740 S LIMESTONE STE B101, LEXINGTON, KY 40536-0001
(859) 323-5661
(859) 323-6411
Mailing address
2013 LAWTON FLT, LEXINGTON, KY 40509-4624
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
279706
KY
103TC0700X
Clinical Psychologist
279706
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279706
KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGY
KY
Enumeration date
01/09/2023
Last updated
02/07/2023
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