Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 581 | KY |
N | 103TC0700X | Clinical Psychologist | 581 | KY |
N | 102L00000X | Psychologist | 581 | KY |
N | 103T00000X | Psychologist | 581 | KY |
N | 103TA0700X | Adult Development & Aging Psychologist | 581 | KY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 581 | KY |
N | 103G00000X | Clinical Psychologist | 581 | KY |
N | 103TC0700X | Clinical Psychologist | 581 | KY |
N | 103TF0200X | Forensic Psychologist | 581 | KY |
N | 103TH0100X | Health Service | 581 | KY |
N | 103TM1800X | Intellectual & Developmental Disabilities | 581 | KY |
NPI | 1245313543 |
---|---|
Provider Name | John David Ranseen |
First Address | Lexington, KY 40508-3215 |
Second Address | Lexington, KY 40509-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89000251 | (05) | KY |
R62010 | (02) |