John David Vickery in Jackson - Psychologist
John David Vickery - NPI 1124249719
John David Vickery is a Psychologist in Jackson, Tennessee. John David Vickery practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John David Vickery is 1124249719. The last update date is 2007-07-08.
John David Vickery's current location address is 3363 Highway 45 North, Jackson, Tennessee. You can contact this provider via phone number 7316648444. The mailing address for John David Vickery is 3363 Highway 45 North, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Vickery |
|---|---|
| Address | 3363 Highway 45 North, Jackson, Tennessee |
| Phone Number | 7316648444 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124249719 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3363 Highway 45 North |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 38305 |
| Phone Number | 7316648444 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P1021 |
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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 unique identifier code issued to John David Vickery by the Centers for Medicare & Medicaid Services?
The John David Vickery has been assigned the NPI (National Provider Identifier) 1124249719. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John David Vickery is physically located?
The John David Vickery is physically situated at the following address: 3363 Highway 45 North, Jackson, TN, 38305.
What is John David Vickery's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John David Vickery is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124249719 to John David Vickery?
The Centers for Medicare & Medicaid Services assigned the 1124249719 to John David Vickery on 2007-05-01.
As of what date were the John David Vickery's details last updated?
The information pertaining to the John David Vickery, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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