Lisa Hayes
Clinical Child & Adolescent Psychologist
1212 Ashley Cir Ste 3
Bowling Green
, Kentucky 42104-5821
Lisa Hayes
Clinical Child & Adolescent Psychologist
1212 Ashley Cir Ste 3
Bowling Green
, Kentucky 42104-5821
(270) 782-8875
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Lisa Hayes
- 1212 Ashley Cir Ste 3
- Bowling Green, KY
- Zip : 42104-5821
- Fax : (270) 782-8875
- Phone : (270) 842-0029
Second Address
- Lisa Hayes
- 1212 Ashley Cir Ste 3
- Bowling Green, KY
- Zip : 42104-5821
- Fax : (270) 782-8875
- Phone : (270) 842-0029
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | KY-0096 | KY |
National Provider Identifier
| NPI | 1134131428 |
|---|---|
| Provider Name | Lisa Hayes |
| First Address | Bowling Green, KY 42104-5821 |
| Second Address | Bowling Green, KY 42104-5821 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 18/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30604011 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.