Individual
JENNIFER BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC PSY PRACTITIONER
Contact information
Practice address
5506 LAKE CT, CRESTWOOD, KY 40014-9542
(502) 387-5950
(502) 241-1190
Mailing address
5506 LAKE CT, CRESTWOOD, KY 40014-9542
(502) 387-5950
(502) 241-1190
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
173462
KY
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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