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Organization
PSYCHOLOGICAL SERVICES AND SUPPORT OF THE BLUEGRASS
Active
Organization
PSYCHOLOGICAL SERVICES AND SUPPORT OF THE BLUEGRASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA GRANGER (OWNER)
(859) 338-9516
Entity
Organization
Contact information
Practice address
151 PROSPEROUS PL STE 1B, LEXINGTON, KY 40509-2180
(859) 338-9516
Mailing address
151 PROSPEROUS PL STE 1B, LEXINGTON, KY 40509-2180
(859) 338-9516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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