Alicia Copestick Henderson, BPS

NPI #1508043399 in Owingsville, Kentucky

Provider Information

NPI Number: 1508043399
Entity Type: Individual
Name: Alicia Copestick Henderson, BPS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: BPS
Enumeration Date: Jan 24, 2008
Last Updated: Sep 24, 2008

Practice Location

Address: 664 SLATE AVE
City: Owingsville
State: Kentucky
ZIP Code: 40360
Phone: (606) 674-6690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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