Jikesha R Benton-Johnson in Roswell - Clinical
Jikesha R Benton-Johnson - NPI 1184883886
Jikesha R Benton-Johnson is a Clinical in Roswell, Georgia. Jikesha R Benton-Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jikesha R Benton-Johnson is 1184883886. The last update date is 2023-10-30.
Jikesha R Benton-Johnson's current location address is 3000 Colonial Center Parkway, Roswell, Georgia. You can contact this provider via phone number 4043171034. The mailing address for Jikesha R Benton-Johnson is 3000 Colonial Center Parkway, Roswell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jikesha R Benton-Johnson |
|---|---|
| Address | 3000 Colonial Center Parkway, Roswell, Georgia |
| Phone Number | 4043171034 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1184883886 |
|---|---|
| Provider Enumeration Date | 2008-06-06 |
| Last Updated Date | 2023-10-30 |
Provider Mailing Address Detail
| Address | 3000 Colonial Center Parkway |
|---|---|
| City | Roswell |
| State | Georgia (GA) |
| Post Code | 300769328 |
| Phone Number | 4043171034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY003410 |
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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 Jikesha R Benton-Johnson by the Centers for Medicare & Medicaid Services?
The Jikesha R Benton-Johnson has been issued the NPI (National Provider Identifier) 1184883886. 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 street address where Jikesha R Benton-Johnson is physically located?
The Jikesha R Benton-Johnson is physically situated at the following address: 3000 Colonial Center Parkway, Roswell, GA, 300769328.
What is Jikesha R Benton-Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jikesha R Benton-Johnson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did Jikesha R Benton-Johnson receive its 1184883886 assignment from the Centers for Medicare & Medicaid Services?
The Jikesha R Benton-Johnson was assigned its 1184883886 on 2008-06-06, 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 details pertaining to Jikesha R Benton-Johnson last refreshed?
The information related to the Jikesha R Benton-Johnson, including its address, specialty, and other relevant details, was last updated on 2023-10-30.
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