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NPI Code Detail

MEDICARE: AARON JOHN GODLASKI PHD

MEDICARE:   AARON JOHN GODLASKI  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist251300KY

General Provider Information

NPI Number : 1326688946
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON JOHN GODLASKI PHD
Provider Business Mailing Address
First Line : 202 ARLINGTON AVE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-2708
Country : US
Telephone Number : 859-333-6513
Fax Number :
Provider Business Practice Location Address
First Line : 535 W SECOND ST STE 207
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-1268
Country : US
Telephone Number : 859-255-4864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2020
Last Update Date : 01/11/2020

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Directions to “ AARON JOHN GODLASKI PHD” Practice Location

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