Joseph Hiram Afanador, PSY.D
Individual provider Active NPI Clinical Psychologist · Fort Campbell, KY
NPI 1457585549 · NPPES record last updated May 5, 2009
Key facts
- NPI
- 1457585549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1479 (AL)
- Practice address
- 650 Joel Drive
Bach
Fort Campbell, KY 42223-5349 - Phone
- (270) 798-8727
- Fax
- (270) 956-0180
- NPI assigned
- May 5, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1479 | AL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1479 | AL | Yes |
Addresses
Primary practice location
650 Joel Drive
Bach
Fort Campbell, KY 42223-5349
Mailing address
650 Joel Drive
Bach
Fort Campbell, KS 42223-5349
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UPIN | Other | KY | VAD000 |
Other providers in Fort Campbell, KY
- Julie Ann Adams
- Stephanie Ivonne Adams
- Thomasine Adams
- Amanda Marie Adamson
- Leanna Lynn Adkins-Stiltner
- Sarah Afriecq
- Thomas Christian Agnew
- Armando Aguilera Jr.
- Raymond Aguon
- Matthew Ahola
All providers in Fort Campbell, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.