Individual
DR. GINA DEARTH-PENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
512 E STEPHENS ST, MIDWAY, KY 40347-1112
(859) 846-5745
(859) 846-5745
Mailing address
512 E STEPHENS ST, MIDWAY, KY 40347-1112
(859) 846-5745
(859) 846-5745
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY171875
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KY171875
KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGY
KY
Enumeration date
02/26/2020
Last updated
02/26/2020
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