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NPI Code Detail

MEDICARE: DR. JAMIE MICHELLE KING PH.D.

MEDICARE:  DR. JAMIE MICHELLE KING  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPS017392PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497743199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE MICHELLE KING PH.D.
Provider Business Mailing Address
First Line : 1275 S MAIN ST STE 101
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-5385
Country : US
Telephone Number : 724-221-6394
Fax Number : 724-420-5593
Provider Business Practice Location Address
First Line : 1275 S MAIN ST STE 101
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-5385
Country : US
Telephone Number : 724-221-6394
Fax Number : 724-420-5593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 05/14/2023

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Directions to “ DR. JAMIE MICHELLE KING PH.D.” Practice Location

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