Individual
JACLYN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 589-8731
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSYPST00220794
KY
Other
Enumeration date
07/31/2014
Last updated
09/04/2015
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