John A Teal is a Clinical in Jackson, Mississippi. John A Teal practices all healthcare services and medical treatments related to Clinical. The NPI Number for John A Teal is 1669640777. The last update date is 2015-06-04.
John A Teal's current location address is 618 Eagle Ave, Jackson, Mississippi. You can contact this provider via phone number 6019461844. The mailing address for John A Teal is 618 Eagle Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John A Teal |
|---|---|
| Address | 618 Eagle Ave, Jackson, Mississippi |
| Phone Number | 6019461844 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1669640777 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2015-06-04 |
Provider Mailing Address Detail
| Address | 618 Eagle Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392065821 |
| Phone Number | 6019461844 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 47818 |
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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 10-digit identification code issued to John A Teal by the Centers for Medicare & Medicaid Services?
The John A Teal has been assigned the NPI (National Provider Identifier) 1669640777 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where John A Teal's facilities are situated?
The facilities of John A Teal are physically located at the following address: 618 Eagle Ave, Jackson, MS, 392065821.
What is John A Teal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John A Teal is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669640777 to John A Teal?
The John A Teal received its 1669640777 assignment from the Centers for Medicare & Medicaid Services on 2008-02-12.
As of what date was the information pertaining to John A Teal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John A Teal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-06-04.