Individual
SAGAN LEE LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
5602 OXFORD CT APT 712, LOUISVILLE, KY 40291-2109
(502) 612-9129
Mailing address
5602 OXFORD CT APT 712, LOUISVILLE, KY 40291-2109
(502) 612-9129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
240816
KY
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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