Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY THAMES MOAK, PH.D.
ActiveJAY THAMES MOAK, PH.D. is a Clinical Psychologist healthcare provider located in MCCOMB, Mississippi. NPI 1619919701 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MCCOMB, MS
Registration Details
- NPI Number
- 1619919701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (20.205434677062 yrs)
- Last Updated
- Jul 8, 2007
- License
-
45-731 (MS)
Practice Information
- Address
-
1701 WHITE STMCCOMB, MS, 396482711Browse MS providers · Browse ZIP 39648
- Phone
- 6016842173
- Fax
- 6012494234
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.