Individual
DR. JOHN EDWARD PENEZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3001 W HIGHWAY 146, LA GRANGE, KY 40031-9123
(502) 536-8149
Mailing address
660 RIVER OAKS DR, SHEPHERDSVILLE, KY 40165-8176
(502) 222-9441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
245147
KY
103T00000X
Psychologist
Primary
298696
KY
Other
Enumeration date
10/31/2018
Last updated
02/24/2026
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