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Contact Information

BLUEGRASS HEALTH PSYCHOLOGY, INC.
2220 YOUNG DRIVE
LEXINGTON, KY40505-4219
 Phone: 859-277-1008
 Fax: 859-277-1083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BLUEGRASS HEALTH PSYCHOLOGY INC · (Female)

NPI Number 1619061470
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 08/09/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 1200
  • KY Medicaid 7100071880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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