Whalio Doctors

NPI 1003839010

Mark a Etscheidt, PHD

Practitioner Clinical Psychologist Lexington, KY

Practice location

Address
740 S Limestone, Lexington, KY 40536-0001
Phone
(859) 323-5956
Mailing address
2333 Alumni Park Plz Suite 200, Lexington, KY 40517-4012

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 783 (KY)

Registry record

NPI
1003839010
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jul 2006
Record last updated
14 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.