Individual
LISA CHENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
915 MEMORIAL CT, ELIZABETHTOWN, KY 42701-2525
(270) 765-6709
(270) 769-3779
Mailing address
915 MEMORIAL CT, ELIZABETHTOWN, KY 42701-2525
(270) 765-6709
(270) 769-3779
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
NOT ASSIGNED
KY
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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