Michael Tennis Oliver in Tupelo - Psychologist
Michael Tennis Oliver - NPI 1043259369
Michael Tennis Oliver is a Psychologist in Tupelo, Mississippi. Michael Tennis Oliver practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael Tennis Oliver is 1043259369. The last update date is 2007-07-08.
Michael Tennis Oliver's current location address is 450 E President Ave, Tupelo, Mississippi. You can contact this provider via phone number 6623774685 and fax number 6623772755. The mailing address for Michael Tennis Oliver is 450 E President Ave, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Tennis Oliver |
|---|---|
| Address | 450 E President Ave, Tupelo, Mississippi |
| Phone Number | 6623774685 |
| Fax Number | 6623772755 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1043259369 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 450 E President Ave |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388015599 |
| Phone Number | 6623774685 |
| Fax Number | 6623772755 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 25327 |
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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 |
|---|---|---|---|
| 4331003 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Tennis Oliver by the Centers for Medicare & Medicaid Services?
The Michael Tennis Oliver has been assigned the NPI (National Provider Identifier) 1043259369. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael Tennis Oliver is located?
The Michael Tennis Oliver is situated at the following address: 450 E President Ave, Tupelo, MS, 388015599.
What is the Michael Tennis Oliver's specialty and taxonomy code?
The Michael Tennis Oliver's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When did Michael Tennis Oliver receive its 1043259369 assignment?
The Michael Tennis Oliver was assigned its 1043259369 on 2006-06-05, which is the date when this unique identifier was issued to the organization.
As of what date were the Michael Tennis Oliver's details last updated?
The information pertaining to the Michael Tennis Oliver, including its address, specialty, and other details, was most recently updated on 2007-07-08.