Individual
DR. JEAN A DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
34 ERLANGER RD, ERLANGER, KY 41018-1728
(859) 341-5782
(859) 341-5783
Mailing address
34 ERLANGER RD, ERLANGER, KY 41018-1728
(859) 341-5782
(859) 341-5783
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1391
KY
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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