Patrick O Smith in Jackson - Clinical

Patrick O Smith - NPI 1225126881

Patrick O Smith is a Clinical in Jackson, Mississippi. Patrick O Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patrick O Smith is 1225126881. The last update date is 2014-02-13.

Patrick O Smith's current location address is 878 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6019846800 and fax number 6019846812. The mailing address for Patrick O Smith is 878 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick O Smith
Address 878 Lakeland Dr, Jackson, Mississippi
Phone Number 6019846800
Fax Number 6019846812
Sole Proprietor N
Credentials P.H.D.

NPI Number Detail

NPI Number 1225126881
Provider Enumeration Date 2006-10-10
Last Updated Date 2014-02-13

Provider Mailing Address Detail

Address 878 Lakeland Dr
City Jackson
State Mississippi (MS)
Post Code 392164644
Phone Number 6019846800
Fax Number 6019846812

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 32-480
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3537326 MS --

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FAQs about Patrick O Smith

What is the unique identifier code issued to Patrick O Smith by the Centers for Medicare & Medicaid Services?

The Patrick O Smith has been assigned the NPI (National Provider Identifier) 1225126881. 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 Patrick O Smith?

The Patrick O Smith is physically situated at 878 Lakeland Dr, in the city of Jackson, state of MS, with the postal code 392164644.

What is Patrick O Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Patrick O Smith is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

When did Patrick O Smith receive its 1225126881 assignment?

The Patrick O Smith was assigned its 1225126881 on 2006-10-10, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Patrick O Smith most recently updated or revised?

The information pertaining to Patrick O Smith, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-13.

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