Individual
LEIGH ANN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 LYDA AVE, BOWLING GREEN, KY 42104-3326
(270) 904-6567
Mailing address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
(270) 904-6567
(270) 904-6570
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
245300
KY
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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