Organization
RENEWED HOPE COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE W CARLSON PH.D. (CLINICAL NEUROPSYCHOLOGIST)
(502) 352-2446
Entity
Organization
Contact information
Practice address
212 HANNA PL, FRANKFORT, KY 40601-2719
(502) 352-2446
Mailing address
212 HANNA PL, FRANKFORT, KY 40601-2719
(502) 352-2446
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
KY-1384
KY
103TC0700X
Clinical Psychologist
Primary
KY-1384
KY
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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