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General NPI Number Information
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NPI Number | 1043359508
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Entity Type | Organization
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Legal Business Name | DRUMHELLER PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 HOGAN ST STE 2A
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City | STARKVILLE
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State | MS
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Zip | 39759-3376
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Country | US
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Telephone | 662-324-1764
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Fax |
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Provider Business Mailing Address
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Address Line | 4 TALLEY HO DR
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City | STARKVILLE
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State | MS
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Zip | 39759-2748
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. PHILIP DRUMHELLER
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Credential | PH.D.
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Telephone | 662-324-1764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 29-410
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License Number State | MS
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