Individual
MARLANA WELCH BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3000 ASH AVE., LOUISVILLE, KY 40056
(502) 241-8454
Mailing address
3000 ASH AVE., LOUISVILLE, KY 40056
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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