IndividualActive
Christina Bacon, MS, LPP
NPI 1487704649 · Psychologist · Berea, KY
Provider details
- NPI number
- 1487704649
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- MS, LPP
- Sex
- Female
- Sole proprietor
- No
- License
- 137685 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
292 Glades Rd Ste 8
Berea, KY 40403
Phone: (859) 985-7862
Fax: (859) 972-0616
Approximate (ZIP-level) locationGet directions
Mailing address
212 Oak Branch Dr
Berea, KY 40403-9581
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2019-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.