Live Oak Psychological Associtaes in Jackson - Clinical
Live Oak Psychological Associtaes - NPI 1750577805
Live Oak Psychological Associtaes is a Clinical in Jackson, Mississippi. Live Oak Psychological Associtaes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Live Oak Psychological Associtaes is 1750577805. The last update date is 2007-09-22.
Live Oak Psychological Associtaes's current location address is 1151 N State St, Jackson, Mississippi. You can contact this provider via phone number 6013527398 and fax number 6013520442. The mailing address for Live Oak Psychological Associtaes is 1151 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Live Oak Psychological Associtaes |
|---|---|
| Address | 1151 N State St, Jackson, Mississippi |
| Phone Number | 6013527398 |
| Fax Number | 6013520442 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Dieth Halderman Lisa |
| Telephone Number | 6013527398 |
NPI Number Detail
| NPI Number | 1750577805 |
|---|---|
| Provider Enumeration Date | 2007-09-22 |
| Last Updated Date | 2007-09-22 |
Provider Mailing Address Detail
| Address | 1151 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392022407 |
| Phone Number | 6013527398 |
| Fax Number | 6013520442 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 identifier code issued to Live Oak Psychological Associtaes by the Centers for Medicare & Medicaid Services?
The Live Oak Psychological Associtaes has been assigned the NPI (National Provider Identifier) 1750577805. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Live Oak Psychological Associtaes?
The Live Oak Psychological Associtaes is physically situated at 1151 N State St, in the city of Jackson, state of MS, with the postal code 392022407.
What is Live Oak Psychological Associtaes's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Live Oak Psychological Associtaes is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did Live Oak Psychological Associtaes receive its 1750577805 assignment from the Centers for Medicare & Medicaid Services?
The Live Oak Psychological Associtaes was assigned its 1750577805 on 2007-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Live Oak Psychological Associtaes most recently updated or revised?
The information pertaining to Live Oak Psychological Associtaes, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-22.
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