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
Address 1701 White St, Mccomb, Mississippi
Phone Number 6016842173
Fax Number 6012494234
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1437183308
Provider Enumeration Date 2006-07-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1701 White St
City Mccomb
State Mississippi (MS)
Post Code 396482711
Phone Number 6016842173
Fax Number 6012494234

Provider's Primary Taxonomy Detail

Speciality Psychologist
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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FAQs about James Stephen Ellis

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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