Clayton, Takymmea
Clayton, Takymmea is an sole proprietor health care provider with primary practice located at 2318 B St , Meridian MS 39301-5931. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clayton, Takymmea can be contacted via phone (601) 773-5051.Contact Information
Primary practice address
2318 B St
Meridian MS 39301-5931
Phone: (601) 773-5051
Fax: (601) 773-5546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP6279 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3707 | Tennessee |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | L957315 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 601060 | Mississippi |
Profile Details
| NPI number | 1982074225 |
|---|---|
| LBN Legal business name | Clayton, Takymmea |
| Credentials | PHD, LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2015 |
| Last updated | Feb 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982074225 | NPPES |
| Mississippi | MEDICAID | 05670031 |
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