Individual provider · Type 1 NPI
Kenneth Kubicek, PhD, LCPC
Psychologist · Maryville, IL
Practice location
3 Oak Dr Ste B
Maryville, IL 62062-5635
Fax (618) 205-3561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 180.002041 (IL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1063290773
Kenneth Kubicek, PhD, LCPC's National Provider Identifier is 1063290773, issued on Sep 15, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Maryville, IL. The record was last updated on Sep 15, 2023.