| NPI | 1508270612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE SANDERS Licensed Psychologist 859-266-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 914) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1102) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |