Ginger B. Crumbo, PsyD Licensed Clinical Psychologist
6000 Brownsboro Park Blvd., Suite G, Louisville, KY 40207 (502) 541-2194(502)721-0333 (Fax)
Forms Please complete the relevant forms and bring with you to intake. Client Information Developmental History - For clients under 18 years of age only. Release of Information Acknowledgement of HIPAA Rights
Please complete the relevant forms and bring with you to intake.
Client Information
Developmental History - For clients under 18 years of age only.
Release of Information
Acknowledgement of HIPAA Rights