Individual
GHAZEL TELLAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1979 RICHMOND DR STE 1, LOUISVILLE, KY 40205-1411
(612) 234-1834
Mailing address
1979 RICHMOND DR STE 1, LOUISVILLE, KY 40205-1411
(612) 234-1834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
285496
KY
103TC0700X
Clinical Psychologist
3854-57
WI
103TC0700X
Clinical Psychologist
LP6552
MN
Other
Enumeration date
05/09/2018
Last updated
08/27/2025
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