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Organization

CALDWELL & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIA CALDWELL PSYD (CHIEF PSYCHOLOGIST)
(859) 963-3563
Entity
Organization

Contact information

Practice address
823 MELROSE AVE, LEXINGTON, KY 40502-2215
(859) 963-3563
Mailing address
823 MELROSE AVE, LEXINGTON, KY 40502-2215
(859) 963-3563

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
168204
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100417140
KY
Enumeration date
11/07/2016
Last updated
11/07/2016
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