Individual
DR. SALLY LOSSON BRENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10503 TIMBERWOOD CIR STE 205, LOUISVILLE, KY 40223-5395
(502) 807-2480
Mailing address
1903 FOX TRAIL DRIVE, LAGRANGE, KY 40031-9443
(502) 807-2480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
128019
KY
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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