THERESA MARIE NOWAK

LEXINGTON, KY
NPI1831714138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: KY  128999)
Additional Taxonomies103TS0200X Psychologist, School
(Licence: KY  128999)
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: KY  128999)
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
Dr. THERESA MARIE NOWAK PhD
233 LARCH LN
LEXINGTON, KY 40511-2006
Phone number: 859-351-6471
Mailing Address
Dr. THERESA MARIE NOWAK PhD
233 LARCH LN
LEXINGTON, KY 40511-2006
Phone number: 859-351-6471