Individual
MATTHEW STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Mailing address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9999999999
KY
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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