Katherine C. Nordal in Vicksburg - Psychologist
Katherine C. Nordal - NPI 1790886653
Katherine C. Nordal is a Psychologist in Vicksburg, Mississippi. Katherine C. Nordal practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Katherine C. Nordal is 1790886653. The last update date is 2007-07-08.
Katherine C. Nordal's current location address is 1121 Grove St, Vicksburg, Mississippi. You can contact this provider via phone number 6016340118. The mailing address for Katherine C. Nordal is 1121 Grove St, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine C. Nordal |
|---|---|
| Address | 1121 Grove St, Vicksburg, Mississippi |
| Phone Number | 6016340118 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1790886653 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1121 Grove St |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391832913 |
| Phone Number | 6016340118 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 192 |
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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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What is the Katherine C. Nordal's unique identification number?
The Katherine C. Nordal has been assigned the NPI (National Provider Identifier) Number 1790886653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Katherine C. Nordal?
The Katherine C. Nordal is situated at 1121 Grove St, in the city of Vicksburg, state of MS, with the zip code 391832913.
What is the Katherine C. Nordal's specialty and taxonomy code?
The Katherine C. Nordal's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Katherine C. Nordal receive its 1790886653 assignment from the Centers for Medicare & Medicaid Services?
The Katherine C. Nordal was assigned its 1790886653 by the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details related to Katherine C. Nordal most recently updated or revised?
The information pertaining to Katherine C. Nordal, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.