Individual
DR. BEVERY RATLIFF WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
704 SPRING MEADOWS DR # A, LEXINGTON, KY 40504-3624
(859) 277-0667
Mailing address
4748 SCENICVIEW RD, LEXINGTON, KY 40514-1441
(859) 223-1141
(859) 223-0421
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1170
KY
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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