Individual
RONALD W. BOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
800 ROSE ST, RM. D104, LEXINGTON, KY 40536-0297
(859) 257-1494
(859) 257-5859
Mailing address
800 ROSE ST, RM. D104, LEXINGTON, KY 40536-0297
(859) 257-1494
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1604
KY
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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