Individual
EDINE OSIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2387 MERLUNA DR, LEXINGTON, KY 40511-8006
(859) 309-3507
Mailing address
2387 MERLUNA DR, LEXINGTON, KY 40511-8006
(859) 309-3507
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33-4488210
—
KY
Enumeration date
09/19/2019
Last updated
04/09/2025
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