Individual
MR. STEPHEN DANIEL CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPP
Contact information
Practice address
448 LEWIS HARGETT CIR STE 100, LEXINGTON, KY 40503-3900
(859) 313-5250
Mailing address
448 LEWIS HARGETT CIR STE 100, LEXINGTON, KY 40503-3900
(859) 313-5250
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
114257
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114257
KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGY
KY
Enumeration date
12/18/2018
Last updated
12/18/2018
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