Individual
SARA W SUTPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPP
Contact information
Practice address
329 PLAZA AVE, LOUISVILLE, KY 40218-3411
(502) 493-0412
Mailing address
329 PLAZA AVE, LOUISVILLE, KY 40218-3411
(502) 493-0412
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSYPPR00223553
KY
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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