Doretha Jean Myers in West Memphis - Clinical
Doretha Jean Myers - NPI 1154410793
Doretha Jean Myers is a Clinical in West Memphis, Arkansas. Doretha Jean Myers practices all healthcare services and medical treatments related to Clinical. The NPI Number for Doretha Jean Myers is 1154410793. The last update date is 2022-07-22.
Doretha Jean Myers's current location address is 1028 N Missouri St Ste 6, West Memphis, Arkansas. You can contact this provider via phone number 8704000263 and fax number 8704000293. The mailing address for Doretha Jean Myers is 1028 N Missouri St Ste 6, West Memphis, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doretha Jean Myers |
|---|---|
| Address | 1028 N Missouri St Ste 6, West Memphis, Arkansas |
| Phone Number | 8704000263 |
| Fax Number | 8704000293 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1154410793 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2022-07-22 |
Provider Mailing Address Detail
| Address | 1028 N Missouri St Ste 6 |
|---|---|
| City | West Memphis |
| State | Arkansas (AR) |
| Post Code | 723012600 |
| Phone Number | 8704000263 |
| Fax Number | 8704000293 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2625C |
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Post Comment/ Review Below
What is the unique identification code assigned to Doretha Jean Myers by the Centers for Medicare & Medicaid Services?
The Doretha Jean Myers has been issued the NPI (National Provider Identifier) 1154410793. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Doretha Jean Myers's facilities are geographically located?
The facilities of Doretha Jean Myers are physically situated at the following location: 1028 N Missouri St Ste 6, West Memphis, AR, 723012600.
What is Doretha Jean Myers's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Doretha Jean Myers's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154410793 to Doretha Jean Myers?
The Centers for Medicare & Medicaid Services originally issued the 1154410793 to Doretha Jean Myers on 2006-10-12.
As of what date was the information regarding Doretha Jean Myers, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Doretha Jean Myers, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-22.