Jacqueline Countryman in Dayton - Psychiatry
Jacqueline Countryman - NPI 1396802096
Jacqueline Countryman is a Psychiatry in Dayton, Ohio. Jacqueline Countryman practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jacqueline Countryman is 1396802096. The last update date is 2007-07-08.
Jacqueline Countryman's current location address is 601 S Edwin C Moses Blvd, Dayton, Ohio. You can contact this provider via phone number 9372768333. The mailing address for Jacqueline Countryman is 601 S Edwin C Moses Blvd, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Countryman |
|---|---|
| Address | 601 S Edwin C Moses Blvd, Dayton, Ohio |
| Phone Number | 9372768333 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396802096 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 601 S Edwin C Moses Blvd |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454081424 |
| Phone Number | 9372768333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 35-07-3384-C |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacqueline Countryman by the Centers for Medicare & Medicaid Services?
The Jacqueline Countryman has been assigned the NPI (National Provider Identifier) 1396802096 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacqueline Countryman?
The Jacqueline Countryman is physically situated at 601 S Edwin C Moses Blvd, in the city of Dayton, state of OH, with the postal code 454081424.
What is Jacqueline Countryman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacqueline Countryman is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396802096 to Jacqueline Countryman?
The Jacqueline Countryman received its 1396802096 assignment from the Centers for Medicare & Medicaid Services on 2007-01-02.
When was the information regarding Jacqueline Countryman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacqueline Countryman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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