Individual
DR. SHAMBRA MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1500 LEESTOWN RD, STE 180, LEXINGTON, KY 40511-2045
(859) 229-6823
Mailing address
2805 JENNA RST, LEXINGTON, KY 40511-8878
(859) 229-6823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/09/2015
Last updated
03/11/2025
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