Copestick Henderson, Alicia

Copestick Henderson, Alicia is an individual health care provider with primary practice located at 664 Slate Ave , Owingsville KY 40360. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Copestick Henderson, Alicia can be contacted via phone (606) 674-6690.

Contact Information

Primary practice address
664 Slate Ave Owingsville KY 40360
Fax: (606) 674-6903
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1508043399
LBN Legal business name Copestick Henderson, Alicia
Credentials BPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Sep 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508043399 NPPES
Kentucky MEDICAID 30610026

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