John Clemmons in Hattiesburg - Clinical Child & Adolescent
John Clemmons - NPI 1104916766
John Clemmons is a Clinical Child & Adolescent in Hattiesburg, Mississippi. John Clemmons practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for John Clemmons is 1104916766. The last update date is 2020-10-08.
John Clemmons's current location address is 239 Methodist Blvd, Hattiesburg, Mississippi. You can contact this provider via phone number 6012962125 and fax number 6012688645. The mailing address for John Clemmons is 239 Methodist Blvd, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Clemmons |
|---|---|
| Address | 239 Methodist Blvd, Hattiesburg, Mississippi |
| Phone Number | 6012962125 |
| Fax Number | 6012688645 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1104916766 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2020-10-08 |
Provider Mailing Address Detail
| Address | 239 Methodist Blvd |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394021297 |
| Phone Number | 6012962125 |
| Fax Number | 6012688645 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 52911 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3051508 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Clemmons by the Centers for Medicare & Medicaid Services (CMS)?
The John Clemmons has been assigned the NPI (National Provider Identifier) 1104916766. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where John Clemmons is geographically located?
The John Clemmons is physically situated at the following location: 239 Methodist Blvd, Hattiesburg, MS, 394021297.
What is John Clemmons's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Clemmons's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
When was the John Clemmons's 1104916766 issued?
The John Clemmons's 1104916766 was issued on 2006-10-13.
As of what date was the information pertaining to John Clemmons, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Clemmons, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-08.
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