Organization
NEURODIVERSITY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA M. NEWLAND PSY.D. PSY.D. (LICENSED PSYCHOLOGIST/ OWNER)
(859) 333-2687
Entity
Organization
Contact information
Practice address
713 MILLPOND RD, LEXINGTON, KY 40514-1570
(859) 780-3805
Mailing address
713 MILLPOND RD, LEXINGTON, KY 40514-1570
(859) 780-3805
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100747780
—
KY
Enumeration date
07/19/2021
Last updated
07/19/2021
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