Individual
MS. JENNIFER KATHRYN SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS EDS
Contact information
Practice address
101 WIND HAVEN DR, SUITE 202, NICHOLASVILLE, KY 40356-8035
(859) 277-0077
(866) 266-0695
Mailing address
2315 BETHEL RD, NICHOLASVILLE, KY 40356
(859) 433-9526
(866) 266-0695
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0054
KY
Other
Enumeration date
01/24/2007
Last updated
12/31/2013
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