Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103G00000X | Clinical Psychologist | 261182 | KY |
Y | 103TC0700X | Clinical Psychologist | 261182 | KY |
N | 103TC1900X | Counseling Psychologist | 261182 | KY |
NPI | 1023271442 |
---|---|
Provider Name | Nathan D Ratliff |
First Address | Pikeville, KY 41502-0432 |
Second Address | Pikeville, KY 41501-1689 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 23/11/2021 |