Jameszetta Hardison in Jacksonville - Psychologist
Jameszetta Hardison - NPI 1043296585
Jameszetta Hardison is a Psychologist in Jacksonville, North Carolina. Jameszetta Hardison practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jameszetta Hardison is 1043296585. The last update date is 2008-05-08.
Jameszetta Hardison's current location address is 1703 Country Club Rd, Jacksonville, North Carolina. You can contact this provider via phone number 9103473010 and fax number 9103473201. The mailing address for Jameszetta Hardison is 1703 Country Club Rd, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jameszetta Hardison |
|---|---|
| Address | 1703 Country Club Rd, Jacksonville, North Carolina |
| Phone Number | 9103473010 |
| Fax Number | 9103473201 |
| Sole Proprietor | N |
| Credentials | LPA LMFT |
NPI Number Detail
| NPI Number | 1043296585 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 1703 Country Club Rd |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466006 |
| Phone Number | 9103473010 |
| Fax Number | 9103473201 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 958 |
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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 |
|---|---|---|---|
| 6107094 | NC | -- | |
| 141GT | NC | BC/BS |
Post Comment/ Review Below
What is the unique identifier code issued to Jameszetta Hardison by the Centers for Medicare & Medicaid Services?
The Jameszetta Hardison has been assigned the NPI (National Provider Identifier) 1043296585. 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 Jameszetta Hardison is located?
The Jameszetta Hardison is situated at the following address: 1703 Country Club Rd, Jacksonville, NC, 285466006.
What is the Jameszetta Hardison's area of specialization and corresponding taxonomy classification?
The Jameszetta Hardison's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1043296585 assigned to Jameszetta Hardison?
The Jameszetta Hardison was issued its 1043296585 on 2005-12-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jameszetta Hardison most recently updated or revised?
The information pertaining to Jameszetta Hardison, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-08.
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