| King Psychological Services, Pllc | |
|
1733 Harrodsburg Rd Lexington KY 40504-3667 | |
| (592) 765-3448 | |
| (859) 223-0490 |
| Full Name | King Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1733 Harrodsburg Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Lisa Michelle King (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8595597624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Psychological Services, Pllc 3268 Foxtale Ct Lexington KY 40517-2865 Ph: (595) 597-6248 | King Psychological Services, Pllc 1733 Harrodsburg Rd Lexington KY 40504-3667 Ph: (592) 765-3448 |
| NPI Number | 1841559986 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 08/10/2020 |
| Certification Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841559986 | NPI | - | NPPES |
| 7100303500 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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