Individual
MR. PAUL ANTHONY EBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
106 PROGRESS DR, SUITE B, FRANKFORT, KY 40601-8695
(502) 848-0201
(502) 848-0203
Mailing address
106 PROGRESS DR, SUITE B, FRANKFORT, KY 40601-8695
(502) 848-0201
(502) 848-0203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY0975
KY
Other
Enumeration date
03/09/2007
Last updated
03/11/2008
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