Dr. Damon Tichenor Jr., PsyD
Psychologist, Clinical in Lexington, KY. Individual provider (NPI-1).
NPI number1609762004
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1609762004
- Entity type
- Individual (NPI-1)
- Name
- Dr. Damon Tichenor Jr.
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2025
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 295085 | KY | Yes |
Practice location
120 Prosperous Pl Ste 115Lexington, KY 40509-1866
Phone 859-368-0609
Mailing address
205 Provincial Way Apt 2Berea, KY 40403-7019
Phone 859-693-1053
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