James Stephen Ellis in Mccomb - Psychologist
James Stephen Ellis - NPI 1437183308
James Stephen Ellis is a Psychologist in Mccomb, Mississippi. James Stephen Ellis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for James Stephen Ellis is 1437183308. The last update date is 2007-07-08.
James Stephen Ellis's current location address is 1701 White St, Mccomb, Mississippi. You can contact this provider via phone number 6016842173 and fax number 6012494234. The mailing address for James Stephen Ellis is 1701 White St, Mccomb, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | James Stephen Ellis |
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Address | 1701 White St, Mccomb, Mississippi |
Phone Number | 6016842173 |
Fax Number | 6012494234 |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1437183308 |
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Provider Enumeration Date | 2006-07-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1701 White St |
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City | Mccomb |
State | Mississippi (MS) |
Post Code | 396482711 |
Phone Number | 6016842173 |
Fax Number | 6012494234 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 30428 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
124731 | MS | -- |
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What is the unique 10-digit identification code issued to James Stephen Ellis by the Centers for Medicare & Medicaid Services?
The James Stephen Ellis has been assigned the NPI (National Provider Identifier) 1437183308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the James Stephen Ellis's physical address?
The James Stephen Ellis is physically located at 1701 White St, in the city of Mccomb, MS, with the postal code 396482711.
What is James Stephen Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Stephen Ellis's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the James Stephen Ellis receive its 1437183308 assignment from the Centers for Medicare & Medicaid Services?
The James Stephen Ellis was assigned its 1437183308 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the James Stephen Ellis's information last updated?
The James Stephen Ellis's information was last updated on 2007-07-08.
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