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Individual

DR. JOHN LEE CECIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
203 RIGHT PENHOOK RD, HAROLD, KY 41635-7008
(606) 454-7568
Mailing address
203 RIGHT PENHOOK RD, HAROLD, KY 41635-7008
(606) 454-7568

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TF0200X
Forensic Psychologist
103TH0004X
Health Psychologist
103TH0100X
Health Service Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
09/11/2019
Last updated
09/11/2019
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