Healthcare Provider Details

I. General information

NPI: 1477550291
Provider Name (Legal Business Name): COLBY REBECCA COHEN-ARCHER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 CORPORATE DR SUITE 204
LEXINGTON KY
40503
US

IV. Provider business mailing address

901 WYNDHAM HILLS DR
LEXINGTON KY
40514
US

V. Phone/Fax

Practice location:
  • Phone: 859-327-6459
  • Fax: 859-296-2833
Mailing address:
  • Phone: 859-327-6459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1141
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1411
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: