Individual
DR. JENNIFER L BROACH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 VETERANS DR, VA MEDICAL CENTER (116A4-LD), LEXINGTON, KY 40502-2236
(859) 281-3817
(859) 281-3919
Mailing address
1101 VETERANS DR, VA MEDICAL CENTER (116A4-LD), LEXINGTON, KY 40502
(859) 281-3817
(859) 281-3919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
926
HI
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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