Individual
DR. DAMON TICHENOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
120 PROSPEROUS PL STE 115, LEXINGTON, KY 40509-1866
(859) 368-0609
Mailing address
205 PROVINCIAL WAY APT 2, BEREA, KY 40403-7019
(859) 693-1053
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
295085
KY
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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