Iva Jill Banks is a Psychologist in Hartsville, South Carolina. Iva Jill Banks practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Iva Jill Banks is 1144279746. The last update date is 2007-07-09.
Iva Jill Banks's current location address is 300 E College Ave, Hartsville, South Carolina. You can contact this provider via phone number 8433838099. The mailing address for Iva Jill Banks is 300 E College Ave, Hartsville, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Iva Jill Banks |
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Address | 300 E College Ave, Hartsville, South Carolina |
Phone Number | 8433838099 |
Fax Number | |
Sole Proprietor | X |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1144279746 |
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Provider Enumeration Date | 2006-05-09 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 300 E College Ave |
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City | Hartsville |
State | South Carolina (SC) |
Post Code | 295503742 |
Phone Number | 8433838099 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 524 |
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 |
---|---|---|---|
254 | SC | LICENSED COUNSELING PSYCH | |
1080 | SC | PROFESSIONAL COUNSELOR SU | |
PS0119 | SC | -- |
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What is the unique 10-digit identifier code issued to Iva Jill Banks by the Centers for Medicare & Medicaid Services?
The Iva Jill Banks has been assigned the NPI (National Provider Identifier) 1144279746 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Iva Jill Banks?
The Iva Jill Banks is physically situated at 300 E College Ave, in the city of Hartsville, state of SC, with the postal code 295503742.
What is the Iva Jill Banks's specialty and taxonomy code?
The Iva Jill Banks's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Iva Jill Banks receive its 1144279746 assignment from the Centers for Medicare & Medicaid Services?
The Iva Jill Banks was assigned its 1144279746 by the Centers for Medicare & Medicaid Services on 2006-05-09.
When was the information regarding Iva Jill Banks most recently updated?
The details pertaining to the Iva Jill Banks, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.