Jean A Boudreaux is a Psychologist in Jackson, Mississippi. Jean A Boudreaux practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jean A Boudreaux is 1518128578. The last update date is 2008-06-23.
Jean A Boudreaux's current location address is Po Box 23666, Jackson, Mississippi. You can contact this provider via phone number 6012003110 and fax number 6013626170. The mailing address for Jean A Boudreaux is Po Box 23666, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean A Boudreaux |
|---|---|
| Address | Po Box 23666, Jackson, Mississippi |
| Phone Number | 6012003110 |
| Fax Number | 6013626170 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1518128578 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | Po Box 23666 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392253666 |
| Phone Number | 6012003110 |
| Fax Number | 6013626170 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 47824 |
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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 unique 10-digit identification code assigned to Jean A Boudreaux by the Centers for Medicare & Medicaid Services?
The Jean A Boudreaux has been issued the NPI (National Provider Identifier) 1518128578, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jean A Boudreaux is physically located?
The Jean A Boudreaux is physically situated at the following address: Po Box 23666, Jackson, MS, 392253666.
What is Jean A Boudreaux's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jean A Boudreaux's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518128578 to Jean A Boudreaux?
The Centers for Medicare & Medicaid Services assigned the 1518128578 to Jean A Boudreaux on 2008-06-23.
As of what date were the details related to Jean A Boudreaux most recently updated or revised?
The information pertaining to Jean A Boudreaux, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-23.