Individual
LISA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 RINEYVILLE RD, ELIZABETHTOWN, KY 42701-8927
(270) 234-0577
(270) 234-8367
Mailing address
890 RINEYVILLE RD, ELIZABETHTOWN, KY 42701-8927
(270) 234-0577
(270) 234-8367
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
123
KY
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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