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NPI Code Detail

MEDICARE: DR. WALTER M. HIGH JR. PHD

MEDICARE: DR. WALTER M. HIGH JR. 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
1103G00000XClinical Neuropsychologist23847TX
2103G00000XClinical Neuropsychologist1446KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730269093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER M. HIGH JR. PHD
Provider Business Mailing Address
First Line : 2050 VERSAILLES RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1405
Country : US
Telephone Number : 859-323-0666
Fax Number : 859-323-1123
Provider Business Practice Location Address
First Line : 2050 VERSAILLES RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1405
Country : US
Telephone Number : 859-323-0666
Fax Number : 859-323-1123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 02/19/2013

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