Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 401 | KY |
Y | 103TC0700X | Clinical Psychologist | 401 | KY |
NPI | 1013134535 |
---|---|
Provider Name | Dr. Karen Lois Haswell |
First Address | Louisville, KY 40207-3000 |
Second Address | Louisville, KY 40207-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |