Individual
MARIYA LEYDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
974 BRECKENRIDGE LN # 171, LOUISVILLE, KY 40207-4619
(502) 694-9432
Mailing address
974 BRECKENRIDGE LN STE 171, LOUISVILLE, KY 40207-4619
(502) 694-9432
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
261787
KY
Other
Enumeration date
02/10/2020
Last updated
04/06/2020
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