Individual
ALLISON D RECKTENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 DUPONT CIR STE 419, LOUISVILLE, KY 40207-4837
(502) 693-8191
Mailing address
9411 ROUTT RD, LOUISVILLE, KY 40299-5645
(502) 693-8191
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29505
KY
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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