Individual
LEENA MOHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202-3907
(502) 583-1697
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
287650
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
06/29/2011
Last updated
12/11/2023
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