Laura Needham-Puckett in Jonesboro - Psychologist
Laura Needham-Puckett - NPI 1174645626
Laura Needham-Puckett is a Psychologist in Jonesboro, Arkansas. Laura Needham-Puckett practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Laura Needham-Puckett is 1174645626. The last update date is 2020-08-17.
Laura Needham-Puckett's current location address is 1815 Pleasant Grove Road, Jonesboro, Arkansas. You can contact this provider via phone number 8709336886 and fax number 8709339395. The mailing address for Laura Needham-Puckett is 1815 Pleasant Grove Road, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Needham-Puckett |
|---|---|
| Address | 1815 Pleasant Grove Road, Jonesboro, Arkansas |
| Phone Number | 8709336886 |
| Fax Number | 8709339395 |
| Sole Proprietor | N |
| Credentials | LPC, LPE ( |
NPI Number Detail
| NPI Number | 1174645626 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-17 |
Provider Mailing Address Detail
| Address | 1815 Pleasant Grove Road |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724057870 |
| Phone Number | 8709336886 |
| Fax Number | 8709339395 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 11-14E |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5R806 | AR | BCBS | |
| 178956795 | AR | -- |
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What is the unique identifier code issued to Laura Needham-Puckett by the Centers for Medicare & Medicaid Services?
The Laura Needham-Puckett has been assigned the NPI (National Provider Identifier) 1174645626. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Laura Needham-Puckett's physical address?
The Laura Needham-Puckett is physically located at 1815 Pleasant Grove Road, in the city of Jonesboro, AR, with the postal code 724057870.
What is Laura Needham-Puckett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laura Needham-Puckett's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Laura Needham-Puckett receive its 1174645626 assignment from the Centers for Medicare & Medicaid Services?
The Laura Needham-Puckett was assigned its 1174645626 by the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date were the Laura Needham-Puckett's details last updated?
The information pertaining to the Laura Needham-Puckett, including its address, specialty, and other details, was most recently updated on 2020-08-17.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC