Clyde Alexander Sheehan in Tupelo - Child & Adolescent Psychiatry
Clyde Alexander Sheehan - NPI 1588662720
Clyde Alexander Sheehan is a Child & Adolescent Psychiatry in Tupelo, Mississippi. Clyde Alexander Sheehan practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Clyde Alexander Sheehan is 1588662720. The last update date is 2014-01-30.
Clyde Alexander Sheehan's current location address is 1040 B South Madison St., Tupelo, Mississippi. You can contact this provider via phone number 6628444364 and fax number 6628444365. The mailing address for Clyde Alexander Sheehan is 1040 B South Madison St., Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde Alexander Sheehan |
|---|---|
| Address | 1040 B South Madison St., Tupelo, Mississippi |
| Phone Number | 6628444364 |
| Fax Number | 6628444365 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588662720 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2014-01-30 |
Provider Mailing Address Detail
| Address | 1040 B South Madison St. |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 38801 |
| Phone Number | 6628444364 |
| Fax Number | 6628444365 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 14706 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112003 | MS | -- |
Post Comment/ Review Below
What is the Clyde Alexander Sheehan's 1588662720?
The Clyde Alexander Sheehan's NPI (National Provider Identifier) Number is 1588662720. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Clyde Alexander Sheehan's physical address?
The Clyde Alexander Sheehan is physically located at 1040 B South Madison St., in the city of Tupelo, MS, with the postal code 38801.
What is the area of specialization for Clyde Alexander Sheehan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clyde Alexander Sheehan is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0804X.
When did the Clyde Alexander Sheehan receive its 1588662720?
The Clyde Alexander Sheehan was issued its 1588662720 on 2005-07-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Clyde Alexander Sheehan most recently updated or revised?
The information pertaining to Clyde Alexander Sheehan, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-30.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN