IndividualActive
Jennifer Bogard, LIC PSY PRACTITIONER
NPI 1124542881 · Counseling Psychologist · Crestwood, KY
Provider details
- NPI number
- 1124542881
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- LIC PSY PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 173462 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5506 Lake Ct
Crestwood, KY 40014-9542
Phone: (502) 387-5950
Fax: (502) 241-1190
Approximate (ZIP-level) locationGet directions
Mailing address
5506 Lake Ct
Crestwood, KY 40014-9542
Registry dates
- Enumerated
- 2017-08-02
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.