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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