James Russell Gray-Couch in Valdosta - Clinical
James Russell Gray-Couch - NPI 1619171618
James Russell Gray-Couch is a Clinical in Valdosta, Georgia. James Russell Gray-Couch practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Russell Gray-Couch is 1619171618. The last update date is 2022-02-25.
James Russell Gray-Couch's current location address is 348 Enterprise Dr Ste B, Valdosta, Georgia. You can contact this provider via phone number 2292930132. The mailing address for James Russell Gray-Couch is 348 Enterprise Dr Ste B, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Russell Gray-Couch |
|---|---|
| Address | 348 Enterprise Dr Ste B, Valdosta, Georgia |
| Phone Number | 2292930132 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1619171618 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2022-02-25 |
Provider Mailing Address Detail
| Address | 348 Enterprise Dr Ste B |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316015169 |
| Phone Number | 2292930132 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 68-019393 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30610026 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James Russell Gray-Couch by the Centers for Medicare & Medicaid Services?
The James Russell Gray-Couch has been issued the NPI (National Provider Identifier) 1619171618 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where James Russell Gray-Couch's facilities are geographically located?
The facilities of James Russell Gray-Couch are physically situated at the following location: 348 Enterprise Dr Ste B, Valdosta, GA, 316015169.
What is James Russell Gray-Couch's area of expertise and its corresponding taxonomy classification?
The James Russell Gray-Couch's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the James Russell Gray-Couch receive its 1619171618 assignment from the Centers for Medicare & Medicaid Services?
The James Russell Gray-Couch was assigned its 1619171618 by the Centers for Medicare & Medicaid Services on 2007-06-13.
When was the information related to James Russell Gray-Couch most recently updated or refreshed?
The details pertaining to the James Russell Gray-Couch, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-25.