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Organization

ELLIOTT PSYCHIATRIC SERVICES, PLLC

Active
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Organization

ELLIOTT PSYCHIATRIC SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT E ELLIOTT M.D. (PRESIDENT)
(859) 219-0090
Entity
Organization

Contact information

Practice address
851 CORPORATE DR, SUITE 203, LEXINGTON, KY 40503-5428
(859) 219-0090
(859) 219-0339
Mailing address
851 CORPORATE DR, SUITE 203, LEXINGTON, KY 40503-5428
(859) 219-0090
(859) 219-0339

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
06/04/2006
Last updated
10/18/2012
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