Individual
KIMBERLY A JANISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 451-5177
Mailing address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 451-5177
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
288558
KY
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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