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Individual

DR. LISA VIVIEN HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4404 DEER SPRINGS CT, LOUISVILLE, KY 40241-5509
(502) 641-8601
Mailing address
4404 DEER SPRINGS CT, LOUISVILLE, KY 40241-5509
(502) 641-8601

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34210
TX

Other

Enumeration date
03/14/2009
Last updated
03/14/2009
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