The Nordal Clinic, Pa in Vicksburg - Health Service
The Nordal Clinic, Pa - NPI 1558483743
The Nordal Clinic, Pa is a Health Service in Vicksburg, Mississippi. The Nordal Clinic, Pa practices all healthcare services and medical treatments related to Health Service. The NPI Number for The Nordal Clinic, Pa is 1558483743. The last update date is 2020-08-22.
The Nordal Clinic, Pa's current location address is 1121 Grove St, Vicksburg, Mississippi. You can contact this provider via phone number 6016340118 and fax number 6016300302. The mailing address for The Nordal Clinic, Pa is 1121 Grove St, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Nordal Clinic, Pa |
|---|---|
| Address | 1121 Grove St, Vicksburg, Mississippi |
| Phone Number | 6016340118 |
| Fax Number | 6016300302 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nordal C Katherine |
| Credentials | PH.D. |
| Telephone Number | 6016340118 |
NPI Number Detail
| NPI Number | 1558483743 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1121 Grove St |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391832913 |
| Phone Number | 6016340118 |
| Fax Number | 6016300302 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9011887 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to The Nordal Clinic, Pa by the Centers for Medicare & Medicaid Services?
The The Nordal Clinic, Pa has been issued the NPI (National Provider Identifier) 1558483743. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where The Nordal Clinic, Pa is located?
The The Nordal Clinic, Pa is situated at the following address: 1121 Grove St, Vicksburg, MS, 391832913.
What is The Nordal Clinic, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The The Nordal Clinic, Pa's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.
On what date did the The Nordal Clinic, Pa receive its 1558483743 assignment from the Centers for Medicare & Medicaid Services?
The The Nordal Clinic, Pa was assigned its 1558483743 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the The Nordal Clinic, Pa's information last updated?
The The Nordal Clinic, Pa's information was last updated on 2020-08-22.