Individual
IAN ANDRES BOGGERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-7001
(859) 323-3368
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-3368
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
265758
KY
Other
Enumeration date
05/15/2020
Last updated
09/15/2020
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