Individual
MRS. JENNIFER DIANE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1169 EASTERN PKWY, STE 2252, LOUISVILLE, KY 40217-1417
(502) 454-4040
(502) 454-4609
Mailing address
1169 EASTERN PKWY, STE 2252, LOUISVILLE, KY 40217-1417
(502) 454-4040
(502) 454-4609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY 0465
KY
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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