| B 'n G Psychological Services | |
|
233 Larch Ln Lexington KY 40511-2006 | |
| (859) 447-6150 | |
| (833) 939-3555 |
| Full Name | B 'n G Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 233 Larch Ln, Lexington, Kentucky |
| Authorized Official Name and Position | Theresa Nowak (OWNER) |
| Authorized Official Contact | 8594476150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B 'n G Psychological Services 233 Larch Ln Lexington KY 40511-2006 Ph: (859) 447-6150 | B 'n G Psychological Services 233 Larch Ln Lexington KY 40511-2006 Ph: (859) 447-6150 |
| NPI Number | 1861073454 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861073454 | NPI | - | NPPES |
| 7100716770 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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