Doctor Name: | JENNIFER L BUCKLAND-STERN |
NPI Number: | 1003038969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | Dsi 635 S. Third St. Louisville, KY - 40202 |
Business Phone Number: | 5025611314 |
Business Fax Number: | 5025611840 |
Mailing Address: | 3310 Mt. Rainier Dr., LOUISVILLE |
State: | KY |
Postal Code: | 40241 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |