Individual
MRS. ALLISON L WITTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7511 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
Mailing address
7511 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
277217
KY
103T00000X
Psychologist
Primary
282191
KY
103TC0700X
Clinical Psychologist
282191
KY
Other
Enumeration date
08/11/2022
Last updated
02/15/2023
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