Jay Thames Moak is a Clinical in Mccomb, Mississippi. Jay Thames Moak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jay Thames Moak is 1619919701. The last update date is 2007-07-08.
Jay Thames Moak's current location address is 1701 White St, Mccomb, Mississippi. You can contact this provider via phone number 6016842173 and fax number 6012494234. The mailing address for Jay Thames Moak is 1701 White St, Mccomb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Thames Moak |
|---|---|
| Address | 1701 White St, Mccomb, Mississippi |
| Phone Number | 6016842173 |
| Fax Number | 6012494234 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1619919701 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1701 White St |
|---|---|
| City | Mccomb |
| State | Mississippi (MS) |
| Post Code | 396482711 |
| Phone Number | 6016842173 |
| Fax Number | 6012494234 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 45-731 |
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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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Post Comment/ Review Below
What is the Jay Thames Moak's unique identification number?
The Jay Thames Moak has been assigned the NPI (National Provider Identifier) Number 1619919701 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jay Thames Moak's physical address?
The Jay Thames Moak is physically located at 1701 White St, in the city of Mccomb, MS, with the postal code 396482711.
What is Jay Thames Moak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jay Thames Moak is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Jay Thames Moak receive its 1619919701 assignment from the Centers for Medicare & Medicaid Services?
The Jay Thames Moak was assigned its 1619919701 by the Centers for Medicare & Medicaid Services on 2006-06-12.
When was the information related to Jay Thames Moak most recently updated or refreshed?
The details pertaining to the Jay Thames Moak, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.