Individual
PATRICK RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3408
(859) 578-5900
(859) 578-5940
Mailing address
17 FOUNDERS CT, COLD SPRING, KY 41076-1860
(859) 781-7017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5236
KY
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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