Organization
AMEND PSYCHOLOGICAL SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI M CARMAN PH.D. (PRACTICE MANAGER)
(859) 269-6465
Entity
Organization
Contact information
Practice address
1025 DOVE RUN RD, SUITE 304, LEXINGTON, KY 40502-3588
(859) 269-6465
(859) 269-6401
Mailing address
1025 DOVE RUN RD, SUITE 304, LEXINGTON, KY 40502-3588
(859) 269-6465
(859) 269-6401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-1067, OH-5037
KY
Other
Enumeration date
04/23/2007
Last updated
04/08/2008
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