David C Mathis is a Psychologist in Tullahoma, Tennessee. David C Mathis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David C Mathis is 1538169743. The last update date is 2007-07-08.
David C Mathis's current location address is 204 W Hogan St, Tullahoma, Tennessee. You can contact this provider via phone number 9313931043 and fax number 9313931000. The mailing address for David C Mathis is 204 W Hogan St, Tullahoma, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David C Mathis |
|---|---|
| Address | 204 W Hogan St, Tullahoma, Tennessee |
| Phone Number | 9313931043 |
| Fax Number | 9313931000 |
| Sole Proprietor | X |
| Credentials | EDD |
NPI Number Detail
| NPI Number | 1538169743 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 204 W Hogan St |
|---|---|
| City | Tullahoma |
| State | Tennessee (TN) |
| Post Code | 373883338 |
| Phone Number | 9313931043 |
| Fax Number | 9313931000 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P1711 |
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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 |
|---|---|---|---|
| 166268 | TN | BCBS |
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What is the unique provider identifier assigned to David C Mathis?
The David C Mathis has been issued the NPI (National Provider Identifier) 1538169743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the David C Mathis located?
The David C Mathis is located at 204 W Hogan St, Tullahoma, TN 373883338.
What is David C Mathis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David C Mathis is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did David C Mathis receive its 1538169743 assignment from the Centers for Medicare & Medicaid Services?
The David C Mathis was assigned its 1538169743 on 2005-07-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the David C Mathis's details last updated?
The information pertaining to the David C Mathis, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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