Individual
DR. LESLIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8910 GREENEWAY COMMONS PL STE 203, LOUISVILLE, KY 40220-4065
(502) 822-6623
(502) 996-8260
Mailing address
8910 GREENEWAY COMMONS PL STE 203, LOUISVILLE, KY 40220-4065
(502) 822-6623
(502) 996-8260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
167007
KY
103TH0100X
Health Service Psychologist
Primary
167007
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100375930
—
KY
Enumeration date
08/10/2015
Last updated
03/29/2018
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