Individual
JO ANNE RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
233 LARCH LN, LEXINGTON, KY 40511-2006
(859) 608-3154
Mailing address
233 LARCH LN, LEXINGTON, KY 40511-2006
(859) 608-3154
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1191
KY
103TC2200X
Clinical Child & Adolescent Psychologist
1191
KY
103TF0000X
Family Psychologist
1191
KY
103TS0200X
School Psychologist
1191
KY
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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