Individual
JENNIFER BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
214 BRECKENRIDGE LANE SUITE 207, LOUISVILLE, KY 40207
(502) 386-9286
Mailing address
3600 WARNER AVE, LOUISVILLE, KY 40207-3730
(502) 386-9286
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041903A
IN
Other
Enumeration date
12/15/2006
Last updated
09/07/2011
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