Individual
BRENNA EPIFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 205-1114
Mailing address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 205-1114
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
295155
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2023
Last updated
03/18/2025
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