John Maury Allin Jr., PH.D.
Individual provider Active NPI Clinical Psychologist · Jackson, MS
NPI 1942374863 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942374863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 24308 (MS)
- Practice address
- 1600 N State St
Suite 105
Jackson, MS 39202-1689 - Phone
- (601) 714-4477
- Fax
- (601) 714-4433
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24308 | MS | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 24308 | MS | Yes |
Addresses
Primary practice location
1600 N State St
Suite 105
Jackson, MS 39202-1689
Mailing address
1600 N State St
Suite 105
Jackson, MS 39202-1689
Phone (601) 714-4477
Other providers in Jackson, MS
- Perry Bernard Allen
- Rebecca Allen
- William David Allen
- Jennifer Holden Alleyn
- Paul Alleyne
- Tiffany Allison
- Stephanie Lynn Allman
- Cecelia Grace Allred
- Devon Allred
- Linda Allred
All providers in Jackson, MS · Clinical Psychologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.