Lookup NPI Numbers from the NPI Registry
NPI Profile for LEANN DETHERAGE in LORETTO, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Counselor |
101Y00000X |
| NPI Number | 1477886380 |
|
| Status | Active | |
| Credentials | LPCA | |
| Entity | Individual | |
| Enumeration date | 09/09/2009 | |
| Last updated | 12/04/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LEANN DETHERAGE
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LEANN DETHERAGE, LPCA