Individual
DR. WALTER SHEPPARD SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
501 PARK AVE, LOUISVILLE, KY 40208-2318
(502) 585-1911
Mailing address
501 PARK AVE, LOUISVILLE, KY 40208-2318
(502) 585-1911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
129535
KY
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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