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Mrs. Kristi Pack

Clinical Psychologist Counseling Psychologist Rehabilitation Psychologist Addiction Psychologist (Substance Use Disorder)

921 S Lake Dr
Prestonsburg , Kentucky 41653-1343

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Psychologist (Substance Use Disorder)
  • Clinical Psychologist
  • Counseling Psychologist
  • Rehabilitation Psychologist

Languages spoken

  • English

Location

921 S Lake Dr Prestonsburg , Kentucky 41653-1343

First Address

  • Mrs. Kristi Pack
  • 921 S Lake Dr
  • Prestonsburg, KY
  • Zip : 41653-1343
  • Fax : (606) 263-4712
  • Phone : (606) 263-4714

Second Address

  • Mrs. Kristi Pack
  • 921 S Lake Dr
  • Prestonsburg, KY
  • Zip : 41653-1343
  • Fax : (606) 263-4712
  • Phone : (606) 263-4714

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FAQs


Where did Mrs. Kristi Pack attend graduate school?

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Where did Mrs. Kristi Pack do her residency?

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Where did Mrs. Kristi Pack do her fellowship?

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Is Mrs. Kristi Pack board certified?

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What type of doctor is Mrs. Kristi Pack

Clinical Psychologist

In what state does Mrs. Kristi Pack practice in?

Kentucky

Where is Mrs. Kristi Pack ’s practice located?

921 S Lake Dr , Prestonsburg, Kentucky, 41653-1343

What is Mrs. Kristi Pack ’s gender?

Female

Is Mrs. Kristi Pack a sole practitioner?

No

Is Mrs. Kristi Pack accepting new patients?

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What languages does Mrs. Kristi Pack speak?

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Does Mrs. Kristi Pack accept insurance?

Yes, Mrs. Kristi Pack accepts insurance

Does Mrs. Kristi Pack offers telemedicine?

Mrs. Kristi Pack has not indicated if she offers telemedicine

What is Mrs. Kristi Pack ’s professional license number?

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What is Mrs. Kristi Pack ’s NPI number?

1144626458

Does Mrs. Kristi Pack have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 103TA0400X Addiction Psychologist (Substance Use Disorder)
Y 103G00000X Clinical Psychologist 0594 KY
Y 103TC0700X Clinical Psychologist 0594 KY
N 103TC1900X Counseling Psychologist
N 103TR0400X Rehabilitation Psychologist

National Provider Identifier

NPI 1144626458
Provider Name Mrs. Kristi Pack
First Address Prestonsburg, KY 41653-1343
Second Address Prestonsburg, KY 41653-1343
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/11/2014
Last Update Date 13/11/2014

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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