Dr Jacqueline Mezza Titus, PHD is a
Student In An Organized Health Care Education/training Program based in East Lansing, Michigan. Dr Jacqueline Mezza Titus is licensed to practice in Michigan (license number 6301013657) and her current practice location is
151 Psychology Bldg, Michigan State Psychological Clinic, East Lansing, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 599-4934.
NPI number for Dr Jacqueline Mezza Titus is 1790931251 and her current mailing address is 151 Psychology Building, Msu Psychological Clinic, East Lansing, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790931251.
Healthcare Provider's Profile
| Full Name | Dr Jacqueline Mezza Titus |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 151 Psychology Bldg, East Lansing, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790931251
- Provider Enumeration Date: 08/14/2008
- Last Update Date: 10/07/2009
Medical Identifiers
Medical identifiers for Dr Jacqueline Mezza Titus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790931251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 6301014282 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 6301013657 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline Mezza Titus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jacqueline Mezza Titus, PHD
151 Psychology Building, Msu Psychological Clinic,
East Lansing, MI 48824
Ph: (517) 599-4934 | Dr Jacqueline Mezza Titus, PHD
151 Psychology Bldg, Michigan State Psychological Clinic,
East Lansing, MI 48824-1116
Ph: (517) 599-4934 |
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