Stephanie L. Ezust in Decatur - Psychologist
Stephanie L. Ezust - NPI 1164589156
Stephanie L. Ezust is a Psychologist in Decatur, Georgia. Stephanie L. Ezust practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stephanie L. Ezust is 1164589156. The last update date is 2016-09-27.
Stephanie L. Ezust's current location address is Po Box 1192, Decatur, Georgia. You can contact this provider via phone number 4043719171 and fax number 4043719172. The mailing address for Stephanie L. Ezust is Po Box 1192, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie L. Ezust |
|---|---|
| Address | Po Box 1192, Decatur, Georgia |
| Phone Number | 4043719171 |
| Fax Number | 4043719172 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164589156 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2016-09-27 |
Provider Mailing Address Detail
| Address | Po Box 1192 |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300311192 |
| Phone Number | 4043719171 |
| Fax Number | 4043719172 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1513 |
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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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What is the unique 10-digit identification code assigned to Stephanie L. Ezust by the Centers for Medicare & Medicaid Services?
The Stephanie L. Ezust has been issued the NPI (National Provider Identifier) 1164589156, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stephanie L. Ezust's facilities are situated?
The facilities of Stephanie L. Ezust are physically located at the following address: Po Box 1192, Decatur, GA, 300311192.
What is Stephanie L. Ezust's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephanie L. Ezust is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164589156 to Stephanie L. Ezust?
The Centers for Medicare & Medicaid Services assigned the 1164589156 to Stephanie L. Ezust on 2007-01-02.
As of what date were the details pertaining to Stephanie L. Ezust last refreshed?
The information related to the Stephanie L. Ezust, including its address, specialty, and other relevant details, was last updated on 2016-09-27.