James David Herzog in Jackson - Psychologist

James David Herzog - NPI 1134135783

James David Herzog is a Psychologist in Jackson, Mississippi. James David Herzog practices all healthcare services and medical treatments related to Psychologist. The NPI Number for James David Herzog is 1134135783. The last update date is 2007-07-08.

James David Herzog's current location address is 4500 Interstate 55 North, Jackson, Mississippi. You can contact this provider via phone number 6019815757 and fax number 6019815494. The mailing address for James David Herzog is 4500 Interstate 55 North, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name James David Herzog
Address 4500 Interstate 55 North, Jackson, Mississippi
Phone Number 6019815757
Fax Number 6019815494
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1134135783
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4500 Interstate 55 North
City Jackson
State Mississippi (MS)
Post Code 392115931
Phone Number 6019815757
Fax Number 6019815494

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 26348
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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FAQs about James David Herzog

What is the unique 10-digit identifier code assigned to James David Herzog by the Centers for Medicare & Medicaid Services?

The James David Herzog has been issued the NPI (National Provider Identifier) 1134135783 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where James David Herzog is located?

The James David Herzog is situated at the following address: 4500 Interstate 55 North, Jackson, MS, 392115931.

What is the area of specialization for James David Herzog, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for James David Herzog is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

When was the James David Herzog's 1134135783 issued?

The James David Herzog's 1134135783 was issued on 2006-08-01.

When was the James David Herzog's information last updated?

The James David Herzog's information was last updated on 2007-07-08.

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