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Individual

DR. JAY OLIVER CASTANEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
520 E MAXWELL ST, LEXINGTON, KY 40502-6432
(859) 233-3390
Mailing address
637 VONBRYAN TRCE, LEXINGTON, KY 40509-2138
(859) 797-3991

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-1435
KY

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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