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Individual
SANDRA MEDLEY
Active
Individual
SANDRA MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY-1246
KY
103TB0200X
Cognitive & Behavioral Psychologist
KY-1246
KY
103TC1900X
Counseling Psychologist
KY-1246
KY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
KY-1246
KY
103TP2701X
Group Psychotherapy Psychologist
KY-1246
KY
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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