Individual
DR. JACQUELYN J. GRAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8007 LYNDON CIRCLE WAY, STE 101, LOUISVILLE, KY 40222
(502) 690-8024
(502) 690-8090
Mailing address
8007 LYNDON CIRCLE WAY, STE 101, LOUISVILLE, KY 40222
(502) 690-8024
(502) 690-8090
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
129389
KY
Other
Enumeration date
07/18/2006
Last updated
08/20/2024
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