Mark A Etscheidt
Clinical Psychologist
740 S Limestone
Lexington
, Kentucky 40536-0001
Mark A Etscheidt
Clinical Psychologist
740 S Limestone
Lexington
, Kentucky 40536-0001
(859) 257-7910
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Mark A Etscheidt
- 2333 Alumni Park Plz Suite 200
- Lexington, KY
- Zip : 40517-4012
- Phone : (859) 257-7910
Second Address
- Mark A Etscheidt
- 740 S Limestone
- Lexington, KY
- Zip : 40536-0001
- Phone : (859) 323-5956
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Is Mark A Etscheidt accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 783 | KY |
| Y | 103TC0700X | Clinical Psychologist | 783 | KY |
National Provider Identifier
| NPI | 1003839010 |
|---|---|
| Provider Name | Mark A Etscheidt |
| First Address | Lexington, KY 40517-4012 |
| Second Address | Lexington, KY 40536-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 14/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 89007835 | (05) | KY |
| P14348 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.