Jefferson D Parker in Jackson - Psychologist
Jefferson D Parker - NPI 1164446969
Jefferson D Parker is a Psychologist in Jackson, Mississippi. Jefferson D Parker practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jefferson D Parker is 1164446969. The last update date is 2016-10-12.
Jefferson D Parker's current location address is 2500 North State Street, Jackson, Mississippi. You can contact this provider via phone number 6019845815 and fax number 6019845842. The mailing address for Jefferson D Parker is 2500 North State Street, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jefferson D Parker |
|---|---|
| Address | 2500 North State Street, Jackson, Mississippi |
| Phone Number | 6019845815 |
| Fax Number | 6019845842 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164446969 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2016-10-12 |
Provider Mailing Address Detail
| Address | 2500 North State Street |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845815 |
| Fax Number | 6019845842 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 33 527 |
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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 |
|---|---|---|---|
| 5582264 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jefferson D Parker by the Centers for Medicare & Medicaid Services (CMS)?
The Jefferson D Parker has been assigned the NPI (National Provider Identifier) 1164446969. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jefferson D Parker is physically located?
The Jefferson D Parker is physically situated at the following address: 2500 North State Street, Jackson, MS, 392164500.
What is Jefferson D Parker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jefferson D Parker is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164446969 to Jefferson D Parker?
The Jefferson D Parker received its 1164446969 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date were the details related to Jefferson D Parker most recently updated or revised?
The information pertaining to Jefferson D Parker, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-12.
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