Individual
DR. AMANDA W MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
BLUEGRASS HEALTH PSYCHOLOGY, INC., 2220 YOUNG DRIVE, LEXINGTON, KY 40505-4219
(859) 277-1008
(859) 277-1083
Mailing address
BLUEGRASS HEALTH PSYCHOLOGY, INC., 4101 TATES CREEK CTR DR, STE 150, PMB 123, LEXINGTON, KY 40517-3066
(859) 277-1008
(859) 277-1083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
129934
KY
103T00000X
Psychologist
1445
KY
103TC0700X
Clinical Psychologist
Primary
129934
KY
103TC0700X
Clinical Psychologist
1445
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100270170
—
KY
Enumeration date
12/09/2006
Last updated
11/18/2020
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