Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALYN DATZ, PHD
Active Sole ProprietorDR. GERALYN DATZ, PHD is a Health Psychologist healthcare provider located in HATTIESBURG, Mississippi. NPI 1972616076 is currently active in the NPPES registry. Verify at CMS.
Health Psychologist · HATTIESBURG, MS
Registration Details
- NPI Number
- 1972616076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2006 (19.959261882349 yrs)
- Last Updated
- Nov 30, 2011
- Licenses
-
45736 (MS)45-736 (MS)1140 (LA)1140 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 COMMERCE DRSTE 205HATTIESBURG, MS, 394021499Browse MS providers · Browse ZIP 39402
- Phone
- 6012551618
- Fax
- 6012551619
- Primary Specialty
-
Health Psychologist
103TH0004X
- Additional Specialty
- Health Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Health Psychologist
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.