Provider Demographics
NPI:1902483449
Name:POLLARD-NELSON, SANDRA (AMFT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:POLLARD-NELSON
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7931 STOVALL CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-1570
Mailing Address - Country:US
Mailing Address - Phone:502-572-8244
Mailing Address - Fax:
Practice Address - Street 1:13121 EASTPOINT PARK BLVD STE F
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-4192
Practice Address - Country:US
Practice Address - Phone:502-572-8508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist