JAY DEITERS

LEXINGTON, KY
NPI1104207042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: KY  PSYPST00213906)
Enumeration Date2015-06-16
Last Update Date2015-06-16
Business Address
-- JAY DEITERS
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number: 859-233-4511
Mailing Address
-- JAY DEITERS
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number:
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