Individual
DR. ANNA SOFIE SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1455 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2453
(859) 442-8439
(859) 781-0123
Mailing address
1455 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2453
(859) 442-8439
(859) 781-0123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1773
KY
103TC0700X
Clinical Psychologist
7126
OH
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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