Jimmie R Livesay in Jonesboro - Intellectual And Developmental Disabilities
Jimmie R Livesay - NPI 1336260256
Jimmie R Livesay is a Intellectual And Developmental Disabilities in Jonesboro, Illinois. Jimmie R Livesay practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Jimmie R Livesay is 1336260256. The last update date is 2007-07-08.
Jimmie R Livesay's current location address is 514 N Main St, Jonesboro, Illinois. You can contact this provider via phone number 6186144265. The mailing address for Jimmie R Livesay is 514 N Main St, Jonesboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmie R Livesay |
|---|---|
| Address | 514 N Main St, Jonesboro, Illinois |
| Phone Number | 6186144265 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | BCBA |
NPI Number Detail
| NPI Number | 1336260256 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 514 N Main St |
|---|---|
| City | Jonesboro |
| State | Illinois (IL) |
| Post Code | 629521800 |
| Phone Number | 6186144265 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
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Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jimmie R Livesay by the Centers for Medicare & Medicaid Services?
The Jimmie R Livesay has been issued the NPI (National Provider Identifier) 1336260256, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jimmie R Livesay?
The Jimmie R Livesay is situated at 514 N Main St, in the city of Jonesboro, state of IL, with the zip code 629521800.
What is Jimmie R Livesay's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jimmie R Livesay's specialized field of practice is Intellectual And Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 103Tm1800X.
On what date did Jimmie R Livesay receive its 1336260256 assignment from the Centers for Medicare & Medicaid Services?
The Jimmie R Livesay was assigned its 1336260256 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jimmie R Livesay most recently updated or refreshed?
The details pertaining to the Jimmie R Livesay, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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