Organization
JENNIFER L. SANDERS LPP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SANDERS LPP (OWNER)
(502) 904-3509
Entity
Organization
Contact information
Practice address
7980 NEW LA GRANGE RD STE 7, LOUISVILLE, KY 40222-4767
(502) 904-3509
Mailing address
7980 NEW LA GRANGE RD STE 7, LOUISVILLE, KY 40222-4767
(502) 904-3509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
08/30/2017
Last updated
07/21/2022
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