Donald Penzien is a Psychologist in Jackson, Mississippi. Donald Penzien practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Donald Penzien is 1184661084. The last update date is 2017-11-27.
Donald Penzien's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845808 and fax number 6018154710. The mailing address for Donald Penzien is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Penzien |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845808 |
| Fax Number | 6018154710 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1184661084 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2017-11-27 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845808 |
| Fax Number | 6018154710 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 5203 |
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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 |
|---|---|---|---|
| 114323 | MS | -- | |
| 680010494 | MS | RAILROAD MEDICARE |
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What is the unique identifier code issued to Donald Penzien by the Centers for Medicare & Medicaid Services?
The Donald Penzien has been assigned the NPI (National Provider Identifier) 1184661084. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Donald Penzien's facilities are geographically located?
The facilities of Donald Penzien are physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Donald Penzien'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 Donald Penzien is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date was the 1184661084 assigned to Donald Penzien?
The Donald Penzien was issued its 1184661084 on 2006-05-31, 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 related to Donald Penzien most recently updated or revised?
The information pertaining to Donald Penzien, including its address, specialty, and other relevant details, was last updated or revised on 2017-11-27.