Geralyn Datz is a Health in Hattiesburg, Mississippi. Geralyn Datz practices all healthcare services and medical treatments related to Health. The NPI Number for Geralyn Datz is 1972616076. The last update date is 2011-11-30.
Geralyn Datz's current location address is Po Box 1614, Hattiesburg, Mississippi. You can contact this provider via phone number 6012551618 and fax number 6012551619. The mailing address for Geralyn Datz is Po Box 1614, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Geralyn Datz |
|---|---|
| Address | Po Box 1614, Hattiesburg, Mississippi |
| Phone Number | 6012551618 |
| Fax Number | 6012551619 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1972616076 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | Po Box 1614 |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394031614 |
| Phone Number | 6012551618 |
| Fax Number | 6012551619 |
Provider's Primary Taxonomy Detail
| Speciality | Health |
|---|---|
| Taxonomy | 103Th0004X |
| Licence No | 45-736 |
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Definition: A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinica |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9933077 | AL | -- | |
| 6036275 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Geralyn Datz?
The Geralyn Datz has been issued the NPI (National Provider Identifier) 1972616076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Geralyn Datz?
The Geralyn Datz is physically situated at Po Box 1614, in the city of Hattiesburg, state of MS, with the postal code 394031614.
What is Geralyn Datz'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 Geralyn Datz is Health, and the taxonomy classification code that categorizes this area of expertise is 103Th0004X.
On what date did the Geralyn Datz receive its 1972616076 assignment from the Centers for Medicare & Medicaid Services?
The Geralyn Datz was assigned its 1972616076 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date was the information pertaining to Geralyn Datz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Geralyn Datz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-30.
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