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Individual

DR. TIMOTHY LEE BAGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
706 EAST FOURTH ST, LONDON, KY 40741
(606) 862-1124
(606) 862-1125
Mailing address
706 EAST FOURTH ST, LONDON, KY 40741
(606) 862-1124
(606) 862-1125

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY1375
KY

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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