Jerry Michael Bynum in Jacksonville - Clinical
Jerry Michael Bynum - NPI 1780793638
Jerry Michael Bynum is a Clinical in Jacksonville, Alabama. Jerry Michael Bynum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Michael Bynum is 1780793638. The last update date is 2007-07-08.
Jerry Michael Bynum's current location address is 1600 Fairway Dr Sw, Jacksonville, Alabama. You can contact this provider via phone number 2567823034. The mailing address for Jerry Michael Bynum is 1600 Fairway Dr Sw, Jacksonville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Michael Bynum |
|---|---|
| Address | 1600 Fairway Dr Sw, Jacksonville, Alabama |
| Phone Number | 2567823034 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1780793638 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1600 Fairway Dr Sw |
|---|---|
| City | Jacksonville |
| State | Alabama (AL) |
| Post Code | 362653334 |
| Phone Number | 2567823034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 649 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Michael Bynum?
The Jerry Michael Bynum has been issued the NPI (National Provider Identifier) 1780793638 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jerry Michael Bynum's facilities are geographically located?
The facilities of Jerry Michael Bynum are physically situated at the following location: 1600 Fairway Dr Sw, Jacksonville, AL, 362653334.
What is Jerry Michael Bynum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Michael Bynum is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780793638 to Jerry Michael Bynum?
The Jerry Michael Bynum received its 1780793638 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Jerry Michael Bynum most recently updated?
The details pertaining to the Jerry Michael Bynum, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.