Individual
LISA RUBLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
571 S FLOYD ST, #100, LOUISVILLE, KY 40202-3818
(502) 852-7897
(502) 852-2911
Mailing address
571 S FLOYD ST, #100, LOUISVILLE, KY 40202-3818
(502) 852-7897
(502) 852-2911
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
96225
KY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
96225
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89000053
—
KY
Enumeration date
01/09/2006
Last updated
09/11/2025
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