Jeremy Sean Mckay in Lagrange - Clinical

Jeremy Sean Mckay - NPI 1043397474

Jeremy Sean Mckay is a Clinical in Lagrange, Georgia. Jeremy Sean Mckay practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeremy Sean Mckay is 1043397474. The last update date is 2007-07-08.

Jeremy Sean Mckay's current location address is 516 Ridley Ave, Lagrange, Georgia. You can contact this provider via phone number 7068451601 and fax number 7068458510. The mailing address for Jeremy Sean Mckay is 516 Ridley Ave, Lagrange, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy Sean Mckay
Address 516 Ridley Ave, Lagrange, Georgia
Phone Number 7068451601
Fax Number 7068458510
Sole Proprietor Y
Credentials PH.D

NPI Number Detail

NPI Number 1043397474
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 516 Ridley Ave
City Lagrange
State Georgia (GA)
Post Code 302402234
Phone Number 7068451601
Fax Number 7068458510

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY002848
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
52048822 GA BCBS OF GA
103463 GA CENPATICO BEHAVIORAL HEAL

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FAQs about Jeremy Sean Mckay

What is the Jeremy Sean Mckay's 1043397474?

The Jeremy Sean Mckay's NPI (National Provider Identifier) Number is 1043397474. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jeremy Sean Mckay is physically located?

The Jeremy Sean Mckay is physically situated at the following address: 516 Ridley Ave, Lagrange, GA, 302402234.

What is Jeremy Sean Mckay's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeremy Sean Mckay is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

When did the Jeremy Sean Mckay receive its 1043397474?

The Jeremy Sean Mckay was issued its 1043397474 on 2006-11-01, which is the date when the organization was assigned this unique identifier.

When was the information related to Jeremy Sean Mckay most recently updated or refreshed?

The details pertaining to the Jeremy Sean Mckay, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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