Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | KY-0991 | KY |
NPI | 1124292362 |
---|---|
Provider Name | Ms. Sandra L Schaefer |
First Address | Louisville, KY 40208-2351 |
Second Address | Louisville, KY 40208-2351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2008 |
Last Update Date | 18/04/2008 |