Individual
TARYN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6900 HOUSTON RD STE 11, FLORENCE, KY 41042-4891
(859) 525-4911
Mailing address
4 AUGUSTA AVE, FT WRIGHT, KY 41011-3604
(502) 724-2017
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
269154
KY
Other
Enumeration date
07/17/2018
Last updated
02/17/2022
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