Provider Demographics
NPI:1841542180
Name:ALDARONDO, FEDERICO (PHD)
Entity type:Individual
Prefix:DR
First Name:FEDERICO
Middle Name:
Last Name:ALDARONDO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:FELITO
Other - Middle Name:
Other - Last Name:ALDARONDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:2365 HARRODSBURG RD
Mailing Address - Street 2:SUITE B225
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3335
Mailing Address - Country:US
Mailing Address - Phone:859-363-5631
Mailing Address - Fax:
Practice Address - Street 1:2365 HARRODSBURG RD
Practice Address - Street 2:SUITE B225
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3335
Practice Address - Country:US
Practice Address - Phone:859-363-5631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1278103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist