Viana, Andres G

Viana, Andres G is an individual health care provider with primary practice located at 2500 N State St Dept Of Psychiatry, Jackson MS 39216-4500. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Viana, Andres G can be contacted via phone (601) 984-5855.

Contact Information

Primary practice address
2500 N State St Dept Of Psychiatry Jackson MS 39216-4500
Phone: (601) 984-5855
Fax: (601) 984-5857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 52908 Mississippi

Profile Details

NPI number 1316290067
LBN Legal business name Viana, Andres G
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2012
Last updated Jan 29th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316290067 NPPES
Mississippi MEDICAID 06073391

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