Thomas David Elkin is a Clinical in Jackson, Mississippi. Thomas David Elkin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas David Elkin is 1588607188. The last update date is 2012-07-05.
Thomas David Elkin's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845888 and fax number 6019845842. The mailing address for Thomas David Elkin is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas David Elkin |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845888 |
| Fax Number | 6019845842 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1588607188 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2012-07-05 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845888 |
| Fax Number | 6019845842 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 37-645 |
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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 |
|---|---|---|---|
| 121308 | MS | -- | |
| 680012381 | MS | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Thomas David Elkin's 1588607188?
The Thomas David Elkin's NPI (National Provider Identifier) Number is 1588607188. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thomas David Elkin is physically located?
The Thomas David Elkin is physically situated at the following address: 2500 N State St, Jackson, MS, 392164500.
What is Thomas David Elkin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas David Elkin's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Thomas David Elkin receive its 1588607188 assignment?
The Thomas David Elkin was assigned its 1588607188 on 2006-06-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Thomas David Elkin last refreshed?
The information related to the Thomas David Elkin, including its address, specialty, and other relevant details, was last updated on 2012-07-05.
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