Organization
PSYCHIATRIC ASSOCIATES
Active
Organization
PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PAUL EVENSEN PH.D. (PRESIDENT)
(859) 273-1288
Entity
Organization
Contact information
Practice address
3175 CUSTER DR, SUITE #200, LEXINGTON, KY 40517-4023
(859) 273-1288
(859) 273-1278
Mailing address
3175 CUSTER DR, SUITE #200, LEXINGTON, KY 40517-4023
(859) 273-1288
(859) 273-1278
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
KY
1041C0700X
Clinical Social Worker
—
KY
2084P0800X
Psychiatry Physician
Primary
—
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
KY
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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