Dr John Stoudenmire Jr, PHD is a
Psychologist - Clinical based in Pascagoula, Mississippi. Dr John Stoudenmire Jr is licensed to practice in Mississippi (license number 61) and his current practice location is
4211 Hospital St Ste 208a, Pascagoula, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(228) 769-2311.
NPI number for Dr John Stoudenmire Jr is 1730294968 and his current mailing address is 4211 Hospital St Ste 208a, Pascagoula, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730294968.
Healthcare Provider's Profile
| Full Name | Dr John Stoudenmire Jr |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 4211 Hospital St Ste 208a, Pascagoula, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730294968
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 08/12/2013
Medical Identifiers
Medical identifiers for Dr John Stoudenmire Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730294968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 61 (Mississippi) | 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 John Stoudenmire Jr 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 John Stoudenmire Jr, PHD
4211 Hospital St Ste 208a,
Pascagoula, MS 39581-5311
Ph: (228) 769-2311 | Dr John Stoudenmire Jr, PHD
4211 Hospital St Ste 208a,
Pascagoula, MS 39581-5311
Ph: (228) 769-2311 |
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