Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 10224 | KY |
N | 103T00000X | Psychologist | 10224 | KY |
NPI | 1013548916 |
---|---|
Provider Name | Jennifer W Riney |
First Address | Lawrenceburg, KY 40342-8022 |
Second Address | Lawrenceburg, KY 40342-8022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2020 |
Last Update Date | 29/01/2020 |