Individual
MARY JURATE MACYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8139 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4682
(502) 423-9509
(502) 423-9501
Mailing address
8139 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4682
(502) 423-9509
(502) 423-9501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0983
KY
103TH0100X
Health Service Psychologist
0983
KY
Other
Enumeration date
12/06/2005
Last updated
07/15/2010
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