Organization
KING PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
KING PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MICHELLE KING (LICENSED CLINICAL PSYCHOLOGIST)
(859) 559-7624
Entity
Organization
Contact information
Practice address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3667
(592) 765-3448
(859) 223-0490
Mailing address
3268 FOXTALE CT, LEXINGTON, KY 40517-2865
(595) 597-6248
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100303500
—
KY
Enumeration date
05/10/2012
Last updated
08/10/2020
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