Individual
KATHRYN L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3103 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2798
(812) 786-0951
Mailing address
3038 BROOKHILL CT, GEORGETOWN, IN 47122-9459
(812) 786-0951
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
259948
KY
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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