Provider Demographics
NPI:1336861269
Name:FLEISCHMANN, CAROLINE (LPA)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:FLEISCHMANN
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 VEACH RD BLDG 5
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-6296
Mailing Address - Country:US
Mailing Address - Phone:270-683-8248
Mailing Address - Fax:270-684-3787
Practice Address - Street 1:2816 VEACH RD BLDG 5
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-6296
Practice Address - Country:US
Practice Address - Phone:270-683-8248
Practice Address - Fax:270-684-3787
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY276958103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist