Individual provider · Type 1 NPI

Jessica Kelly Waggoner

Psychologist · Lexington, KY

NPI number 1235691833 Active

Practice location

2250 Leestown Rd
Lexington, KY 40511-1052

Call (859) 223-4511 Map

Mailing address

491 Damron Br
Grayson, KY 41143-7151

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X265757 (KY)
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1235691833

Jessica Kelly Waggoner's National Provider Identifier is 1235691833, issued on Apr 2, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lexington, KY. The record was last updated on Feb 12, 2024.