Jennifer L Sudbrack in Covington - Clinical
Jennifer L Sudbrack - NPI 1114970191
Jennifer L Sudbrack is a Clinical in Covington, Kentucky. Jennifer L Sudbrack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer L Sudbrack is 1114970191. The last update date is 2008-02-11.
Jennifer L Sudbrack's current location address is 722 Scott St, Covington, Kentucky. You can contact this provider via phone number 8594312225 and fax number 8595782388. The mailing address for Jennifer L Sudbrack is 722 Scott St, Covington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Sudbrack |
|---|---|
| Address | 722 Scott St, Covington, Kentucky |
| Phone Number | 8594312225 |
| Fax Number | 8595782388 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1114970191 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 722 Scott St |
|---|---|
| City | Covington |
| State | Kentucky (KY) |
| Post Code | 4101124180 |
| Phone Number | 8594312225 |
| Fax Number | 8595782388 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1349 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 256 | KY | MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer L Sudbrack by the Centers for Medicare & Medicaid Services?
The Jennifer L Sudbrack has been assigned the NPI (National Provider Identifier) 1114970191. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jennifer L Sudbrack's facilities are geographically located?
The facilities of Jennifer L Sudbrack are physically situated at the following location: 722 Scott St, Covington, KY, 4101124180.
What is the Jennifer L Sudbrack's area of specialization and corresponding taxonomy classification?
The Jennifer L Sudbrack's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did Jennifer L Sudbrack receive its 1114970191 assignment?
The Jennifer L Sudbrack was assigned its 1114970191 on 2006-05-18, which is the date when this unique identifier was issued to the organization.
When was the Jennifer L Sudbrack's information last updated?
The Jennifer L Sudbrack's information was last updated on 2008-02-11.
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