Cooper Bufkin Moore in Jackson - Clinical
Cooper Bufkin Moore - NPI 1710011150
Cooper Bufkin Moore is a Clinical in Jackson, Mississippi. Cooper Bufkin Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cooper Bufkin Moore is 1710011150. The last update date is 2007-07-08.
Cooper Bufkin Moore's current location address is 1151 N State St Ste 212, Jackson, Mississippi. You can contact this provider via phone number 6013527398 and fax number 6013520442. The mailing address for Cooper Bufkin Moore is 1151 N State St Ste 212, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cooper Bufkin Moore |
|---|---|
| Address | 1151 N State St Ste 212, Jackson, Mississippi |
| Phone Number | 6013527398 |
| Fax Number | 6013520442 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1710011150 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1151 N State St Ste 212 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392022467 |
| Phone Number | 6013527398 |
| Fax Number | 6013520442 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 44 715 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Cooper Bufkin Moore by the Centers for Medicare & Medicaid Services?
The Cooper Bufkin Moore has been issued the NPI (National Provider Identifier) 1710011150. 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 physical address where Cooper Bufkin Moore is located?
The Cooper Bufkin Moore is situated at the following address: 1151 N State St Ste 212, Jackson, MS, 392022467.
What is the Cooper Bufkin Moore's area of specialization and corresponding taxonomy classification?
The Cooper Bufkin Moore's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Cooper Bufkin Moore's 1710011150 issued?
The Cooper Bufkin Moore's 1710011150 was issued on 2007-03-16.
When was the information pertaining to Cooper Bufkin Moore most recently updated or revised?
The details related to Cooper Bufkin Moore, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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