Angela O'Briant Herzog in Jackson - Psychologist
Angela O'Briant Herzog - NPI 1215157425
Angela O'Briant Herzog is a Psychologist in Jackson, Mississippi. Angela O'Briant Herzog practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Angela O'Briant Herzog is 1215157425. The last update date is 2007-07-08.
Angela O'Briant Herzog's current location address is Forty-five Hundred Interstate Fifty-five North, Jackson, Mississippi. You can contact this provider via phone number 6019815757 and fax number 6019815494. The mailing address for Angela O'Briant Herzog is Forty-five Hundred Interstate Fifty-five North, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela O'Briant Herzog |
|---|---|
| Address | Forty-five Hundred Interstate Fifty-five North, Jackson, Mississippi |
| Phone Number | 6019815757 |
| Fax Number | 6019815494 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1215157425 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Forty-five Hundred Interstate Fifty-five North |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39211 |
| Phone Number | 6019815757 |
| Fax Number | 6019815494 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 25-348 |
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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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What is the unique 10-digit identification code issued to Angela O'Briant Herzog by the Centers for Medicare & Medicaid Services?
The Angela O'Briant Herzog has been assigned the NPI (National Provider Identifier) 1215157425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Angela O'Briant Herzog?
The Angela O'Briant Herzog is situated at Forty-Five Hundred Interstate Fifty-Five North, in the city of Jackson, state of MS, with the zip code 39211.
What is Angela O'Briant Herzog's area of expertise and its corresponding taxonomy classification?
The Angela O'Briant Herzog's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1215157425 assigned to Angela O'Briant Herzog?
The Angela O'Briant Herzog was issued its 1215157425 on 2007-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Angela O'Briant Herzog last refreshed?
The information related to the Angela O'Briant Herzog, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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