DR. Jennifer L Sudbrack, PH.D.

NPI #1114970191 in Covington, Kentucky

Provider Information

NPI Number: 1114970191
Entity Type: Individual
Name: DR. Jennifer L Sudbrack, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: May 18, 2006
Last Updated: Feb 11, 2008

Practice Location

Address: 722 SCOTT ST
City: Covington
State: Kentucky
ZIP Code: 41011-2418
Phone: (859) 431-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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