Individual
DR. JOHN ERVIN STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
704 SPRING MEADOWS DR, LEXINGTON, KY 40504-3624
(859) 277-0667
Mailing address
2112 ALEXANDRIA DR, LEXINGTON, KY 40504-3212
(859) 533-9531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0872
KY
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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