Jal Psychological Services in Macon - Clinical
Jal Psychological Services - NPI 1902969363
Jal Psychological Services is a Clinical in Macon, Georgia. Jal Psychological Services practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jal Psychological Services is 1902969363. The last update date is 2020-08-22.
Jal Psychological Services's current location address is 3626 Vineville Ave, Macon, Georgia. You can contact this provider via phone number 4784744073 and fax number 4784744074. The mailing address for Jal Psychological Services is 3626 Vineville Ave, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jal Psychological Services |
|---|---|
| Address | 3626 Vineville Ave, Macon, Georgia |
| Phone Number | 4784744073 |
| Fax Number | 4784744074 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Lanum Allison Joan |
| Credentials | PSY.D. |
| Telephone Number | 4784744073 |
NPI Number Detail
| NPI Number | 1902969363 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3626 Vineville Ave |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312041853 |
| Phone Number | 4784744073 |
| Fax Number | 4784744074 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY002796 |
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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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What is the unique identification code assigned to Jal Psychological Services by the Centers for Medicare & Medicaid Services?
The Jal Psychological Services has been issued the NPI (National Provider Identifier) 1902969363. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jal Psychological Services?
The Jal Psychological Services is physically situated at 3626 Vineville Ave, in the city of Macon, state of GA, with the postal code 312041853.
What is the Jal Psychological Services's area of specialization and corresponding taxonomy classification?
The Jal Psychological Services's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did the Jal Psychological Services receive its 1902969363?
The Jal Psychological Services was issued its 1902969363 on 2006-12-18, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jal Psychological Services most recently updated or revised?
The details related to Jal Psychological Services, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.