Individual
JESSICA K BEAL KORHONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
210 E. GRAY ST., SUITE 601, LOUISVILLE, KY 40202-3902
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-3600
(502) 588-9536
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1505
KY
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200940980
—
IN
05
—
7100069970
—
KY
Enumeration date
06/05/2008
Last updated
07/08/2014
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