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Individual

DR. LISA SENAVININ POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1603 STEVENS AVE, SUITE 203, LOUISVILLE, KY 40205-1042
(502) 558-5428
(502) 459-8001
Mailing address
1603 STEVENS AVE, SUITE 203, LOUISVILLE, KY 40205-1042
(502) 558-5428
(502) 459-8001

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1267
KY

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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