Jacquelyn M Gilles in Louisville - Clinical
Jacquelyn M Gilles - NPI 1124212972
Jacquelyn M Gilles is a Clinical in Louisville, Kentucky. Jacquelyn M Gilles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacquelyn M Gilles is 1124212972. The last update date is 2016-10-21.
Jacquelyn M Gilles's current location address is 1190 E Broadway, Louisville, Kentucky. You can contact this provider via phone number 5026270905. The mailing address for Jacquelyn M Gilles is 1190 E Broadway, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn M Gilles |
|---|---|
| Address | 1190 E Broadway, Louisville, Kentucky |
| Phone Number | 5026270905 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1124212972 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2016-10-21 |
Provider Mailing Address Detail
| Address | 1190 E Broadway |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402041712 |
| Phone Number | 5026270905 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2012-12 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 129842 | KY | LICENSE |
Post Comment/ Review Below
What is the Jacquelyn M Gilles's unique identification number?
The Jacquelyn M Gilles has been assigned the NPI (National Provider Identifier) Number 1124212972 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jacquelyn M Gilles is physically located?
The Jacquelyn M Gilles is situated at the following address: 1190 E Broadway, Louisville, KY 402041712.
What is the Jacquelyn M Gilles's area of specialization and corresponding taxonomy classification?
The Jacquelyn M Gilles's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jacquelyn M Gilles receive the assignment of its 1124212972 from the Centers for Medicare & Medicaid Services?
The Jacquelyn M Gilles was issued its 1124212972 by the Centers for Medicare & Medicaid Services on 2007-09-04.
As of what date were the details related to Jacquelyn M Gilles most recently updated or revised?
The information pertaining to Jacquelyn M Gilles, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-21.
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