Behavioral Medicine Clinic,Pa in Meridian - Prescribing (medical)
Behavioral Medicine Clinic,Pa - NPI 1588846281
Behavioral Medicine Clinic,Pa is a Prescribing (medical) in Meridian, Mississippi. Behavioral Medicine Clinic,Pa practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Behavioral Medicine Clinic,Pa is 1588846281. The last update date is 2010-06-01.
Behavioral Medicine Clinic,Pa's current location address is 5000 Hwy 39 N, Meridian, Mississippi. You can contact this provider via phone number 6014822400. The mailing address for Behavioral Medicine Clinic,Pa is 5000 Hwy 39 N, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Behavioral Medicine Clinic,Pa |
|---|---|
| Address | 5000 Hwy 39 N, Meridian, Mississippi |
| Phone Number | 6014822400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jordan Terry |
| Credentials | M.M. |
| Telephone Number | 6014822400 |
NPI Number Detail
| NPI Number | 1588846281 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2010-06-01 |
Provider Mailing Address Detail
| Address | 5000 Hwy 39 N |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393011021 |
| Phone Number | 6014822400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 14095 |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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What is the Behavioral Medicine Clinic,Pa's unique identification number?
The Behavioral Medicine Clinic,Pa has been assigned the NPI (National Provider Identifier) Number 1588846281 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Behavioral Medicine Clinic,Pa's facilities are situated?
The facilities of Behavioral Medicine Clinic,Pa are physically located at the following address: 5000 Hwy 39 N, Meridian, MS, 393011021.
What is the Behavioral Medicine Clinic,Pa's specialty and taxonomy code?
The Behavioral Medicine Clinic,Pa's specialty is Prescribing (medical), and the corresponding taxonomy code is 103Tp0016X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588846281 to Behavioral Medicine Clinic,Pa?
The Centers for Medicare & Medicaid Services originally issued the 1588846281 to Behavioral Medicine Clinic,Pa on 2007-12-04.
When was the information regarding Behavioral Medicine Clinic,Pa most recently updated?
The details pertaining to the Behavioral Medicine Clinic,Pa, including its address, specialty, and other relevant information, were last refreshed on 2010-06-01.