Individual
DAN FLORELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1421 LEXINGTON RD, RICHMOND, KY 40475-1059
(859) 624-2454
(859) 624-2454
Mailing address
1421 LEXINGTON RD, RICHMOND, KY 40475-1059
(859) 624-2454
(859) 624-2454
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
129219
KY
103TS0200X
School Psychologist
1337
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000676503
ANTHEM PIN
—
Enumeration date
05/14/2007
Last updated
02/01/2018
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