Clinical Neuroscience Group, Pllc in Flowood - Psychiatry
Clinical Neuroscience Group, Pllc - NPI 1710175260
Clinical Neuroscience Group, Pllc is a Psychiatry in Flowood, Mississippi. Clinical Neuroscience Group, Pllc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Clinical Neuroscience Group, Pllc is 1710175260. The last update date is 2007-10-10.
Clinical Neuroscience Group, Pllc's current location address is 3531 Lakeland Dr, Flowood, Mississippi. You can contact this provider via phone number 6014207010. The mailing address for Clinical Neuroscience Group, Pllc is 3531 Lakeland Dr, Flowood, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clinical Neuroscience Group, Pllc |
|---|---|
| Address | 3531 Lakeland Dr, Flowood, Mississippi |
| Phone Number | 6014207010 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilkaitis Elgin John |
| Credentials | M.D., M.S. |
| Telephone Number | 6014207010 |
NPI Number Detail
| NPI Number | 1710175260 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 3531 Lakeland Dr |
|---|---|
| City | Flowood |
| State | Mississippi (MS) |
| Post Code | 392328049 |
| Phone Number | 6014207010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
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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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What is the unique 10-digit identifier code assigned to Clinical Neuroscience Group, Pllc by the Centers for Medicare & Medicaid Services?
The Clinical Neuroscience Group, Pllc has been issued the NPI (National Provider Identifier) 1710175260 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Clinical Neuroscience Group, Pllc?
The Clinical Neuroscience Group, Pllc is situated at 3531 Lakeland Dr, in the city of Flowood, state of MS, with the zip code 392328049.
What is the Clinical Neuroscience Group, Pllc's specialty and taxonomy code?
The Clinical Neuroscience Group, Pllc's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710175260 to Clinical Neuroscience Group, Pllc?
The Clinical Neuroscience Group, Pllc received its 1710175260 assignment from the Centers for Medicare & Medicaid Services on 2007-10-10.
When was the information regarding Clinical Neuroscience Group, Pllc most recently updated?
The details pertaining to the Clinical Neuroscience Group, Pllc, including its address, specialty, and other relevant information, were last refreshed on 2007-10-10.