Baptist Healthcare System Inc.

Psychologist · Corbin, KY

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At a glance

1 Trillium Way, Corbin, KY 40701-8727

NPPES record updated Aug 28, 2023. Public records can lag behind changes at a practice.

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Practice location

1 Trillium Way
Corbin, KY 40701-8727
Professional details: NPI, taxonomy & registry record
NPI1033533823
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Registry details

Primary taxonomy
Psychologist
Taxonomy code
103T00000X
Enumeration date
Feb 13, 2014
Record updated
Aug 28, 2023
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Psychologist

103T00000X · Primary

License reported: 100417 KY

Psychiatry

2084P0800X

Specialty details in registry

363LP0808X

License reported: 100417 KY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1 Trillium Way
Corbin, KY 40701-8727
Phone
(606) 528-1212
Mailing address
1 TRILLIUM WAY

CORBIN, KY 407018727
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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