Healthcare Provider Details

I. General information

NPI: 1780712810
Provider Name (Legal Business Name): JEFFREY POSTON PSY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALKER HOUSE 411 BISHOP COURT
MOREHEAD KY
40351-1009
US

IV. Provider business mailing address

PO BOX 790
ASHLAND KY
41105-0790
US

V. Phone/Fax

Practice location:
  • Phone: 606-784-2096
  • Fax: 606-784-5886
Mailing address:
  • Phone: 606-329-8588
  • Fax: 606-329-8195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number171
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: