Jackson Psychological Group Pa in Jackson - Psychologist
Jackson Psychological Group Pa - NPI 1720267974
Jackson Psychological Group Pa is a Psychologist in Jackson, Mississippi. Jackson Psychological Group Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jackson Psychological Group Pa is 1720267974. The last update date is 2007-10-24.
Jackson Psychological Group Pa's current location address is 1818 Crane Ridge Dr, Jackson, Mississippi. You can contact this provider via phone number 6019811008. The mailing address for Jackson Psychological Group Pa is 1818 Crane Ridge Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Psychological Group Pa |
|---|---|
| Address | 1818 Crane Ridge Dr, Jackson, Mississippi |
| Phone Number | 6019811008 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Dees F Jesse |
| Credentials | PH.D. |
| Telephone Number | 6019811008 |
NPI Number Detail
| NPI Number | 1720267974 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2007-10-24 |
Provider Mailing Address Detail
| Address | 1818 Crane Ridge Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164912 |
| Phone Number | 6019811008 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 175 |
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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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Post Comment/ Review Below
What is the Jackson Psychological Group Pa's unique identification number?
The Jackson Psychological Group Pa has been assigned the NPI (National Provider Identifier) Number 1720267974 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jackson Psychological Group Pa is geographically located?
The Jackson Psychological Group Pa is physically situated at the following location: 1818 Crane Ridge Dr, Jackson, MS, 392164912.
What is Jackson Psychological Group Pa's area of expertise and its corresponding taxonomy classification?
The Jackson Psychological Group Pa's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1720267974 assigned to Jackson Psychological Group Pa?
The Jackson Psychological Group Pa was issued its 1720267974 on 2007-10-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jackson Psychological Group Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jackson Psychological Group Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-24.