Individual
DUSTIN E. PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIC. PSYCH. PRACT.
Contact information
Practice address
465 S HIGHWAY 27 STE 102, SOMERSET, KY 42501-3401
(606) 802-2880
(606) 802-2888
Mailing address
465 S HIGHWAY 27 STE 102, SOMERSET, KY 42501-3401
(606) 802-2880
(606) 802-2888
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
KY-0493
KY
103TC0700X
Clinical Psychologist
115928
KY
Other
Enumeration date
03/29/2007
Last updated
04/08/2018
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