Stefan Massong is a Clinical in Biloxi, Mississippi. Stefan Massong practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stefan Massong is 1568556082. The last update date is 2007-07-08.
Stefan Massong's current location address is 2472 Pass Rd, Biloxi, Mississippi. You can contact this provider via phone number 2283889303 and fax number 2283889306. The mailing address for Stefan Massong is 2472 Pass Rd, Biloxi, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stefan Massong |
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Address | 2472 Pass Rd, Biloxi, Mississippi |
Phone Number | 2283889303 |
Fax Number | 2283889306 |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1568556082 |
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Provider Enumeration Date | 2006-10-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2472 Pass Rd |
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City | Biloxi |
State | Mississippi (MS) |
Post Code | 395312838 |
Phone Number | 2283889303 |
Fax Number | 2283889306 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 35-579 |
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 |
---|---|---|---|
11428838W | MS | CAQH | |
121755 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stefan Massong?
The Stefan Massong has been issued the NPI (National Provider Identifier) 1568556082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Stefan Massong is physically located?
The Stefan Massong is physically situated at the following address: 2472 Pass Rd, Biloxi, MS, 395312838.
What is the Stefan Massong's specialty and taxonomy code?
The Stefan Massong's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Stefan Massong receive the assignment of its 1568556082 from the Centers for Medicare & Medicaid Services?
The Stefan Massong was issued its 1568556082 by the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the information pertaining to Stefan Massong most recently updated or revised?
The details related to Stefan Massong, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.