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General NPI Number Information
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NPI Number | 1225658859
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Entity Type | Organization
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Legal Business Name | LISA C. STEELSMITH, PSY.D., PLLC
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 4010 DUPONT CIR STE 574
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City | LOUISVILLE
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State | KY
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Zip | 40207-4843
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Country | US
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Telephone | 502-309-9255
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Fax | 502-305-2115
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Provider Business Mailing Address
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Address Line | 200 S BAYLY AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-2582
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Country | US
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Telephone | 502-645-3435
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Fax | 502-305-2115
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA C STEELSMITH
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Credential | PSYD
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Telephone | 502-645-3435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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