Individual
DR. BRANDON R OLIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
338 DOUGLAS DR, PIKEVILLE, KY 41501-6820
(859) 640-3870
Mailing address
338 DOUGLAS DR, PIKEVILLE, KY 41501-6820
(859) 640-3870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-1229
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1216863
CHA HEALTH
KY
Enumeration date
01/02/2008
Last updated
08/03/2011
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