Mikyta Danic Daugherty in Decatur - Psychologist
Mikyta Danic Daugherty - NPI 1962659185
Mikyta Danic Daugherty is a Psychologist in Decatur, Georgia. Mikyta Danic Daugherty practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mikyta Danic Daugherty is 1962659185. The last update date is 2012-01-31.
Mikyta Danic Daugherty's current location address is 214 Driftwood Ter, Decatur, Georgia. You can contact this provider via phone number 4045908986. The mailing address for Mikyta Danic Daugherty is 214 Driftwood Ter, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mikyta Danic Daugherty |
|---|---|
| Address | 214 Driftwood Ter, Decatur, Georgia |
| Phone Number | 4045908986 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1962659185 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2012-01-31 |
Provider Mailing Address Detail
| Address | 214 Driftwood Ter |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300304477 |
| Phone Number | 4045908986 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3362 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003108634A | GA | -- |
Post Comment/ Review Below
What is the Mikyta Danic Daugherty's unique identification number?
The Mikyta Danic Daugherty has been assigned the NPI (National Provider Identifier) Number 1962659185 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Mikyta Danic Daugherty is located?
The Mikyta Danic Daugherty is situated at the following address: 214 Driftwood Ter, Decatur, GA, 300304477.
What is Mikyta Danic Daugherty's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mikyta Danic Daugherty's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962659185 to Mikyta Danic Daugherty?
The Centers for Medicare & Medicaid Services assigned the 1962659185 to Mikyta Danic Daugherty on 2008-08-19.
When was the information regarding Mikyta Danic Daugherty most recently updated?
The details pertaining to the Mikyta Danic Daugherty, including its address, specialty, and other relevant information, were last refreshed on 2012-01-31.
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