Individual
OLIVIA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA-T
Contact information
Practice address
7984 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4718
(502) 426-2777
Mailing address
7984 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
277950
KY
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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