Provider Demographics
NPI:1073862173
Name:TURNER, JOSHUA K (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:K
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 DUCKHORN DR APT 16
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-6577
Mailing Address - Country:US
Mailing Address - Phone:859-699-8388
Mailing Address - Fax:
Practice Address - Street 1:1040 DUCKHORN DR APT 16
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-6577
Practice Address - Country:US
Practice Address - Phone:859-699-8388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20043503A103T00000X
IN20043503B103T00000X
KY260335103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30610026Medicaid