Individual
LORI CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 THOMAS GLEN DR UNIT 6207, SHEPHERDSVILLE, KY 40165-8737
(502) 468-7536
Mailing address
245 THOMAS GLEN DR UNIT 6207, SHEPHERDSVILLE, KY 40165-8737
(502) 468-7536
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
166301
KY
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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