Individual
DR. AMELIA KATHERINE CHASE-WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4 PHYSICIANS PARK, FRANKFORT, KY 40601-4181
(502) 223-8400
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
273004
KY
Other
Enumeration date
10/13/2021
Last updated
09/15/2022
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