Individual
DR. KIM DUDLEY LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
OHIO UNIVERSITY DEPARTMENT OF PSYCHOLOGY, ATHENS, OH 45701-2979
(740) 597-1251
(740) 593-4790
Mailing address
6 DOVE DRIVE, ATHENS, OH 45701-3366
(740) 597-1251
(740) 593-4790
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4603
OH
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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