Individual
DR. GINA LARISA SALISBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 299-8641
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 299-8641
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3589
NC
Other
Enumeration date
08/31/2009
Last updated
02/24/2010
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