Clayton Mhddad is a Psychologist in Jonesboro, Georgia. Clayton Mhddad practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clayton Mhddad is 1477719722. The last update date is 2011-11-15.
Clayton Mhddad's current location address is 157 Smith St, Jonesboro, Georgia. You can contact this provider via phone number 7704782280 and fax number 7704779772. The mailing address for Clayton Mhddad is 157 Smith St, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Mhddad |
|---|---|
| Address | 157 Smith St, Jonesboro, Georgia |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Cole Terry |
| Telephone Number | 7704782280 |
NPI Number Detail
| NPI Number | 1477719722 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2011-11-15 |
Provider Mailing Address Detail
| Address | 157 Smith St |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302363546 |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 |
|---|---|---|---|
| 000604205D | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been issued the NPI (National Provider Identifier) 1477719722. 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 address where Clayton Mhddad is physically located?
The Clayton Mhddad is situated at the following address: 157 Smith St, Jonesboro, GA 302363546.
What is Clayton Mhddad's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clayton Mhddad is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Clayton Mhddad receive its 1477719722 assignment from the Centers for Medicare & Medicaid Services?
The Clayton Mhddad was assigned its 1477719722 by the Centers for Medicare & Medicaid Services on 2008-08-05.
When was the information pertaining to Clayton Mhddad most recently updated or revised?
The details related to Clayton Mhddad, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-15.
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