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Dr. Jennifer L Sudbrack, PHD
Clinical Psychologist in Covington, Kentucky
NPI 1114970191

Jennifer L Sudbrack is a Clinical Psychologist based in Covington, KY and is specialized in Clinical. Jennifer L Sudbrack practices in Covington, KY and has the professional credentials of PHD. The NPI Number for Jennifer L Sudbrack is 1114970191 and holds a License No. 1349 (Kentucky).

The current practice location address for Jennifer L Sudbrack is 722 Scott St, Covington, KY and can be reached out via phone at 859-431-2225 and via fax at 859-578-2388.

Location: 722 Scott St, Covington, KY, 41011-3717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114970191
Provider Name
Jennifer L Sudbrack
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
722 Scott St, Covington, KY, 41011-3717
Phone Number
859-431-2225
Fax Number
859-578-2388
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0256 01 KY MEDICARE
institution
Provider Business Practice Location Address Details
Address
722 Scott St
City
Covington
State
Kentucky
Zip
41011-2418
Phone Number
859-431-2225
Fax Number
859-578-2388
person
Provider Business Mailing Address Details
Address
722 Scott St
City
Covington
State
Kentucky
Zip
41011-2418
Phone Number
859-431-2225
Fax Number
859-578-2388
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1349 (Kentucky)
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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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