Samuel Broud Hester in Jonesboro - Psychologist
Samuel Broud Hester - NPI 1649293754
Samuel Broud Hester is a Psychologist in Jonesboro, Arkansas. Samuel Broud Hester practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Samuel Broud Hester is 1649293754. The last update date is 2007-07-09.
Samuel Broud Hester's current location address is 260 Southwest Dr, Jonesboro, Arkansas. You can contact this provider via phone number 8709321707 and fax number 8709321707. The mailing address for Samuel Broud Hester is 260 Southwest Dr, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Broud Hester |
|---|---|
| Address | 260 Southwest Dr, Jonesboro, Arkansas |
| Phone Number | 8709321707 |
| Fax Number | 8709321707 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1649293754 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 260 Southwest Dr |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724015829 |
| Phone Number | 8709321707 |
| Fax Number | 8709321707 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 81-4P |
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Definition: 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 proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56233 | AR | BC/BS # | |
| 81-4P | AR | STATE LICENSE # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Samuel Broud Hester by the Centers for Medicare & Medicaid Services?
The Samuel Broud Hester has been assigned the NPI (National Provider Identifier) 1649293754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Samuel Broud Hester?
The Samuel Broud Hester is situated at 260 Southwest Dr, in the city of Jonesboro, state of AR, with the zip code 724015829.
What is Samuel Broud Hester's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Samuel Broud Hester is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did Samuel Broud Hester receive its 1649293754 assignment from the Centers for Medicare & Medicaid Services?
The Samuel Broud Hester was assigned its 1649293754 on 2006-07-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Samuel Broud Hester's details last updated?
The information pertaining to the Samuel Broud Hester, including its address, specialty, and other details, was most recently updated on 2007-07-09.