Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1597 | KY |
NPI | 1013307545 |
---|---|
Provider Name | Dr. Karen Hutcheson |
First Address | Louisville, KY 40207-3605 |
Second Address | Louisville, KY 40241-2289 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2015 |
Last Update Date | 04/02/2015 |