Healthcare Provider Details

I. General information

NPI: 1366641870
Provider Name (Legal Business Name): KAREN SUE LENHOFF PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 VETERANS DR VA MEDICAL CENTER
LEXINGTON KY
40502-2235
US

IV. Provider business mailing address

4615 S 3RD ST
LOUISVILLE KY
40214-1931
US

V. Phone/Fax

Practice location:
  • Phone: 859-233-4511
  • Fax:
Mailing address:
  • Phone: 502-380-1378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1064
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: