John Tyler Mauldin in Jasper - Psychologist
John Tyler Mauldin - NPI 1508917907
John Tyler Mauldin is a Psychologist in Jasper, Georgia. John Tyler Mauldin practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John Tyler Mauldin is 1508917907. The last update date is 2011-03-07.
John Tyler Mauldin's current location address is 2404 Refuge Rd, Jasper, Georgia. You can contact this provider via phone number 7064023524. The mailing address for John Tyler Mauldin is 2404 Refuge Rd, Jasper, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Tyler Mauldin |
|---|---|
| Address | 2404 Refuge Rd, Jasper, Georgia |
| Phone Number | 7064023524 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1508917907 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2011-03-07 |
Provider Mailing Address Detail
| Address | 2404 Refuge Rd |
|---|---|
| City | Jasper |
| State | Georgia (GA) |
| Post Code | 301434946 |
| Phone Number | 7064023524 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY001342 |
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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 |
|---|---|---|---|
| 000365274B | GA | -- |
Post Comment/ Review Below
What is the John Tyler Mauldin's 1508917907?
The John Tyler Mauldin's NPI (National Provider Identifier) Number is 1508917907. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Tyler Mauldin's physical address?
The John Tyler Mauldin is physically located at 2404 Refuge Rd, in the city of Jasper, GA, with the postal code 301434946.
What is John Tyler Mauldin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Tyler Mauldin is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508917907 to John Tyler Mauldin?
The John Tyler Mauldin received its 1508917907 assignment from the Centers for Medicare & Medicaid Services on 2007-01-15.
As of what date was the information regarding John Tyler Mauldin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Tyler Mauldin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-07.
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