John Azar-Dickens is a Clinical in Rome, Georgia. John Azar-Dickens practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Azar-Dickens is 1104984103. The last update date is 2007-07-09.
John Azar-Dickens's current location address is Po Box 6206, Rome, Georgia. You can contact this provider via phone number 7062326743 and fax number 7062328050. The mailing address for John Azar-Dickens is Po Box 6206, Rome, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Azar-Dickens |
|---|---|
| Address | Po Box 6206, Rome, Georgia |
| Phone Number | 7062326743 |
| Fax Number | 7062328050 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104984103 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 6206 |
|---|---|
| City | Rome |
| State | Georgia (GA) |
| Post Code | 301626206 |
| Phone Number | 7062326743 |
| Fax Number | 7062328050 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2459 |
|
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 |
|---|---|---|---|
| 895837 | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Azar-Dickens by the Centers for Medicare & Medicaid Services (CMS)?
The John Azar-Dickens has been assigned the NPI (National Provider Identifier) 1104984103. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where John Azar-Dickens is geographically located?
The John Azar-Dickens is physically situated at the following location: Po Box 6206, Rome, GA, 301626206.
What is the John Azar-Dickens's specialty and taxonomy code?
The John Azar-Dickens's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1104984103 assigned to John Azar-Dickens?
The John Azar-Dickens was issued its 1104984103 on 2006-12-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John Azar-Dickens, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Azar-Dickens, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1447253448
Address: 4420 E Miraloma Ave Ste F, Anaheim, CA