# SANDRA MEDLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114322120
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | KY-1246 | KY | Yes |
| 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