SearchKentucky103TC1900X

Jennifer Bogard, LIC PSY PRACTITIONER

NPI 1124542881 · on the registry since 2017 · sole proprietor

Practice

Address
5506 Lake Ct
Crestwood, KY 40014
Phone
(502) 387-5950
Fax
(502) 241-1190

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky