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CARDINAL CLINICAL CONSULTING LLC NPI 1417514274


NPI Information

NPI: 1417514274
Provider Name: CARDINAL CLINICAL CONSULTING, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2625 TRACELAND DR STE B
TUPELO, MS
ZIP 38801
Phone: (662) 269-3599
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CARDINAL CLINICAL CONSULTING, LLC is a clinical psychologist in Tupelo, MS. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CARDINAL CLINICAL CONSULTING, LLC NPI is 1417514274. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2625 TRACELAND DR STE B
TUPELO, MS
ZIP 38801-240
Phone: (662) 269-3599
Fax: (662) 259-2503

The provider's authorized official is Joshua C Fulwiler .
The authorized official title is Owner and has the following contact phone number (662) 269-3599.

The enumeration date for this NPI number is 5/28/2019 and was last updated on 5/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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