| Doctor Name: | LISA ANN POTTS |
| NPI Number: | 1013146687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | KY-172 |
| Business Practice Address: | 130 Joe B. Hall Avenue Shepherdsville, KY - 401650690 |
| Business Phone Number: | 5025437033 |
| Business Fax Number: | |
| Mailing Address: | 101 W Muhammad Ali Blvd, LOUISVILLE |
| State: | KY |
| Postal Code: | 402021423 |
| Phone Number: | 5025898600 |
| Fax Number: | |
| NPI Enumeration Date: | 07/04/2009 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | KY-172 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |