MR. Phillip E Pack, M.S.

NPI #1710031372 in Paintsville, Kentucky

Provider Information

NPI Number: 1710031372
Entity Type: Individual
Name: MR. Phillip E Pack, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: M.S.
Enumeration Date: Jan 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 232 MAIN ST
Address 2: FAMILY BANK BLD SUITE 206
City: Paintsville
State: Kentucky
ZIP Code: 41240-1040
Phone: (606) 788-0406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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