Individual
JENNY M. PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11730 OLD SHELBYVILLE RD, LOUISVILLE, KY 40243-1482
(502) 883-4073
(502) 883-4139
Mailing address
11730 OLD SHELBYVILLE RD, LOUISVILLE, KY 40243-1482
(502) 883-4073
(502) 883-4139
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
171261
KY
Other
Enumeration date
06/03/2014
Last updated
10/19/2016
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