Magnolia Psychiatric Pa in Ocean Springs - Psychologist

Magnolia Psychiatric Pa - NPI 1306031752

Magnolia Psychiatric Pa is a Psychologist in Ocean Springs, Mississippi. Magnolia Psychiatric Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Magnolia Psychiatric Pa is 1306031752. The last update date is 2007-09-10.

Magnolia Psychiatric Pa's current location address is 2124 Government St, Ocean Springs, Mississippi. You can contact this provider via phone number 2288189050 and fax number 2288726300. The mailing address for Magnolia Psychiatric Pa is 2124 Government St, Ocean Springs, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Magnolia Psychiatric Pa
Address 2124 Government St, Ocean Springs, Mississippi
Phone Number 2288189050
Fax Number 2288726300
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Mattina L Tracey
Telephone Number 2288180563

NPI Number Detail

NPI Number 1306031752
Provider Enumeration Date 2007-09-10
Last Updated Date 2007-09-10

Provider Mailing Address Detail

Address 2124 Government St
City Ocean Springs
State Mississippi (MS)
Post Code 395643937
Phone Number 2288189050
Fax Number 2288726300

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 18977
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 Magnolia Psychiatric Pa

What is the unique provider identifier assigned to Magnolia Psychiatric Pa?

The Magnolia Psychiatric Pa has been issued the NPI (National Provider Identifier) 1306031752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Magnolia Psychiatric Pa located?

The Magnolia Psychiatric Pa is located at 2124 Government St, Ocean Springs, MS 395643937.

What is Magnolia Psychiatric Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Magnolia Psychiatric Pa'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 Magnolia Psychiatric Pa receive its 1306031752 assignment from the Centers for Medicare & Medicaid Services?

The Magnolia Psychiatric Pa was assigned its 1306031752 by the Centers for Medicare & Medicaid Services on 2007-09-10.

As of what date was the information regarding Magnolia Psychiatric Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Magnolia Psychiatric Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-10.

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