Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 1062 | KY |
Y | 103TC1900X | Counseling Psychologist | 10659 | KY |
NPI | 1023382736 |
---|---|
Provider Name | Dr. Sonja Feist Price |
First Address | Lexington, KY 40513-9740 |
Second Address | Lexington, KY 40503-1946 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2012 |
Last Update Date | 27/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12316964 | CAQH (01) | KY |