| Bluegrass Psychological Services Pllc | |
|
343 Waller Ave Suite 300 Lexington KY 40504-2912 | |
| (859) 276-1836 | |
| (859) 276-0609 |
| Full Name | Bluegrass Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 343 Waller Ave, Lexington, Kentucky |
| Authorized Official Name and Position | Harwell F Smith (OWNER) |
| Authorized Official Contact | 8592761836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Psychological Services Pllc 343 Waller Ave Suite 300 Lexington KY 40504-2912 Ph: (859) 276-1836 | Bluegrass Psychological Services Pllc 343 Waller Ave Suite 300 Lexington KY 40504-2912 Ph: (859) 276-1836 |
| NPI Number | 1699096271 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699096271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | KY 0467 (Kentucky) | Primary |
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