Individual
DR. MARINA SUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 NEW LAGRANGE RD., STE 310, LOUISVILLE, KY 40222-4870
(914) 475-7256
Mailing address
7400 NEW LAGRANGE RD., SUITE 310, LOUISVILLE, KY 40222-4870
(914) 475-7256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
014487-1
NY
103TC0700X
Clinical Psychologist
Primary
1652
KY
Other
Enumeration date
11/11/2006
Last updated
04/05/2016
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