NPI Search for Physicians and Health Care Providers
DR. GINA DEARTH-PENDLEY PHD
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1922632215
Individual Registrant:
DR. GINA DEARTH-PENDLEY PHD
Gender: F
Sole Proprietor
Location and contact information for practice:
512 E STEPHENS ST MIDWAY, KY 40347-1112 US
Tel: 859-846-5745 Fax: 859-846-5745
Contact information for business:
512 E STEPHENS ST MIDWAY, KY 40347-1112 US
Tel: 859-846-5745 Fax: 859-846-5745
Registration Information:
NPI: 1922632215
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | KY | KY171875 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGY | KY171875 | KY | 01 |
HEALTH CARE JOBS KY - Page 1