Individual
DR. VIRGINIA BRISLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3801 SPRINGHURST BLVD, SUITE 101, LOUISVILLE, KY 40241-6137
(502) 394-0101
(502) 425-4275
Mailing address
3801 SPRINGHURST BLVD, SUITE 101, LOUISVILLE, KY 40241-6137
(502) 394-0101
(502) 425-4275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0797
KY
Other
Enumeration date
12/22/2010
Last updated
12/23/2010
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