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DR. GINA DEARTH-PENDLEY PHD

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
KYKY171875

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGYKY171875KY01




HEALTH CARE JOBS KY - Page 1



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