| Commonwealth Psychological Services Pllc | |
|
147 Main St Suite 210 Pikeville KY 41501-1147 | |
| (859) 338-8024 | |
| (606) 432-3890 |
| Full Name | Commonwealth Psychological Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 147 Main St, Pikeville, Kentucky |
| Authorized Official Name and Position | Leigh A Ford (LICENSED PSYCHOLOGICAL) |
| Authorized Official Contact | 8593388024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Psychological Services Pllc 147 Main St Suite 210 Pikeville KY 41501-1147 Ph: (859) 338-8024 | Commonwealth Psychological Services Pllc 147 Main St Suite 210 Pikeville KY 41501-1147 Ph: (859) 338-8024 |
| NPI Number | 1215299706 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 07/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215299706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1479 (Kentucky) | Primary |
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