Individual
JENNIFER DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 FAIRFAX AVE, LOWER LEVEL, SUITE A, LOUISVILLE, KY 40207-4939
(502) 759-2517
Mailing address
4165 WESTPORT RD STE 303, LOUISVILLE, KY 40207-2786
(502) 509-3082
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
130797
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000539132
ANTHEM
KY
05
—
30605018
—
KY
Enumeration date
05/02/2007
Last updated
06/25/2024
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