Phillip Pack, M.S

NPI 1710031372 · on the registry since 2007 · sole proprietor

Practice

Address: 232 Main St
Family Bank Bld Suite 206
Paintsville, KY 41240
Phone: (606) 788-0406
Fax: (606) 788-0496
Organisation at this address: East Kentucky Psychological Services Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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