| Mary Hall Lieneck, PHD | |
|
12 E 5th St, Newport, KY 41071-1618 | |
| (859) 331-3292 | |
| (859) 578-2864 |
| Full Name | Mary Hall Lieneck |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 12 E 5th St, Newport, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255399093 | NPI | - | NPPES |
| 610661458 | Other | KY | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 129324 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Hall Lieneck, PHD 502 Farrell Dr, Covington, KY 41011-3717 Ph: (859) 331-3292 | Mary Hall Lieneck, PHD 12 E 5th St, Newport, KY 41071-1618 Ph: (859) 331-3292 |
Tara Luchkiw, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 | |
Dr. Benjamin Michael Anderson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1400 Grand Avenue, Newport, KY 41071 Phone: 859-301-5901 Fax: 859-301-5940 | |
Tobias C Weiss, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 718 Columbia St, Newport, KY 41071 Phone: 859-491-6510 Fax: 859-491-6589 |