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Jacks Gilles, PSY.D., LP
NPI 1124212972 · on the registry since 2007
Practice
- Address
- 633 Baxter Ave
Louisville, KY 40204 - Phone
- (502) 309-2408
- Organisation at this address
- Mandala House, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 1190 E Broadway, Louisville, KY
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Also registered as
- Clinical Psychologist
Clinical Psychologist - Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky