NPI Profile for Dr JODY A GILES in PADUCAH, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X |
| NPI Number | 1134472954 |
|
| Status | Active | |
| Credentials | PhD | |
| Entity | Individual | |
| Enumeration date | 10/17/2012 | |
| Last updated | 10/17/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JODY A GILES
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