Individual
JACQUELINE M PABIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(025) 880-8005
(502) 588-0801
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 559-9423
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
04/12/2023
Last updated
08/27/2024
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