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COLLEEN CRAWFORD CORNELIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
740 S LIMESTONE 4TH FLOOR WING D, LEXINGTON, KY 40536-0001
(859) 323-5643
Mailing address
402 QUEENSWAY DR, LEXINGTON, KY 40502-1009
(859) 533-3275

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
268918
KY
103TS0200X
School Psychologist
251781
KY

Other

Enumeration date
05/01/2020
Last updated
02/10/2021
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