Individual provider · Type 1 NPI

Jacks X. Gilles, PSY.D., LP

Clinical Psychologist · Louisville, KY

NPI number 1124212972 Active

Practice location

633 Baxter Ave
Louisville, KY 40204-1157

Call (502) 309-2408 Map

Other practice locations

  • 1190 E Broadway, Louisville, KY 40204-1712 · (502) 627-0905

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X1745 (KY)
Clinical Psychologist 103TC0700X2012-12 (KY)
Clinical Psychologist Primary 103TC0700X129842 (KY)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1124212972

Jacks X. Gilles, PSY.D., LP's National Provider Identifier is 1124212972, issued on Sep 4, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Louisville, KY. The record was last updated on Nov 19, 2024.