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Organization

B 'N G PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THERESA NOWAK PHD (OWNER)
(859) 447-6150
Entity
Organization

Contact information

Practice address
233 LARCH LN, LEXINGTON, KY 40511-2006
(859) 447-6150
(833) 939-3555
Mailing address
233 LARCH LN, LEXINGTON, KY 40511-2006
(859) 447-6150
(833) 939-3555

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100716770
KY
Enumeration date
04/15/2021
Last updated
04/15/2021
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