Individual
JILL QUAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH ASSOCIATE
Contact information
Practice address
113 HARDIN LN, SOMERSET, KY 42503-3814
(606) 679-6251
(606) 679-4156
Mailing address
259 PARKERS MILL RD, SOMERSET, KY 42501-3152
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
670
KY
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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