Individual
MELISSA ROBERTS COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
855 CHARWOOD DR, LEXINGTON, KY 40515-5002
(859) 971-6627
Mailing address
855 CHARWOOD DR, LEXINGTON, KY 40515
(859) 971-6627
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1114
KY
103TC0700X
Clinical Psychologist
Primary
35016
TX
Other
Enumeration date
04/27/2007
Last updated
07/29/2011
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