Individual
MS. HEATHER LOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0675
KY
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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