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Clarissa Renee Roan-Belle

Psychologist in Lexington, KY. Individual provider (NPI-1).

NPI number1750643151
StatusActive
Last updated in NPPESDec 12, 2019

Details

NPI
1750643151
Entity type
Individual (NPI-1)
Name
Clarissa Renee Roan-Belle
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2012
Certification date
Dec 12, 2019
Last updated
Dec 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist162670KYYes

Practice location

1500 Leestown Rd Ste 326
Lexington, KY 40511-2047

Phone 859-368-4410 · Fax 859-368-4410

Mailing address

877 Sunny Slope Trace
Lexington, KY 40515-5815

Phone 859-368-4410

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