Individual
MR. PHILLIP E PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
232 MAIN ST, FAMILY BANK BLD SUITE 206, PAINTSVILLE, KY 41240-1040
(606) 788-0406
(606) 788-0496
Mailing address
232 MAIN ST, FAMILY BANK BLD SUITE 206, PAINTSVILLE, KY 41240-1040
(606) 788-0406
(606) 788-0496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0019
KY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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