DR. John Edward Penezic, PSYD, LPA

NPI #1912474578 in La Grange, Kentucky

Provider Information

NPI Number
1912474578
Entity Type
Individual
Name
DR. John Edward Penezic, PSYD, LPA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PSYD, LPA
Enumeration Date
Oct 31, 2018
Last Updated
Dec 26, 2022

Practice Location

Address
3001 W HIGHWAY 146
ZIP Code
40031-9123
Phone
(502) 536-8149

Specialties & Taxonomy Codes

Specialty
Psychologist

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