Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1625 | KY |
Y | 103G00000X | Clinical Psychologist | 1625 | KY |
Y | 103TC0700X | Clinical Psychologist | 1625 | KY |
NPI | 1184920845 |
---|---|
Provider Name | Dr. Emily Hollebeek Brechting |
First Address | Lexington, KY 40536-0297 |
Second Address | Lexington, KY 40536-0297 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2011 |
Last Update Date | 28/01/2011 |