Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2008-36 | KY |
Y | 103TC0700X | Clinical Psychologist | 2008-36 | KY |
NPI | 1003081159 |
---|---|
Provider Name | Cathie B Sowles |
First Address | Corbin, KY 40702-0568 |
Second Address | Corbin, KY 40701-4811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 16/07/2008 |