Individual
CAROL LYNN CASSEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
4418 MALCOLM AVE, LOUISVILLE, KY 40215-1122
(480) 261-2005
Mailing address
720 COOL SPRINGS BLVD STE 500, FRANKLIN, TN 37067-7259
(480) 261-2005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1140860
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014760
KY
Other
Enumeration date
09/20/2021
Last updated
10/22/2021
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