Jeffrey M. Dulin PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY002544 Issued in GA

Legal business name

JEFFREY M. DULIN PHD LLC

Practice address

4304 Adobe Dr
Killeen, TX 76542-7517

Phone

(706) 339-3783

NPI assigned

Dec 27, 2006

Last updated

Nov 21, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Matthew Dulin, PH. D

Title

Psychologist

Phone

(706) 339-3783

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1205991403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 ADOBE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765427517",
            "telephone_number": "706-339-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 ADOBE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765427517",
            "telephone_number": "706-339-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. DULIN PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "DULIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "706-339-3783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000928782A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanice Amy Mitchell (Integrity Rehab)
• Deborah Jebakumar
• Rachel Jeffcoat
• Candida D Jefferson, MSW, RBT
• Felicia Jefferson
• Douglas Duart Jeffrey, MD
• Callie Jeffries, LMSW
• Chiona Jenkins
• Jatoya Jenkins, MA, CCC-SLP
• Sarah Jenkins

• Psychologist in Killeen, TX
• Providers in Killeen, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.