Dr. Jacquelyn Ann Pickar-Muniz
Psychologist
315 S 13th St Suite 2
Herrin
, Illinois 62948-3661
Dr. Jacquelyn Ann Pickar-Muniz
Psychologist
315 S 13th St Suite 2
Herrin
, Illinois 62948-3661
(618) 942-5921
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jacquelyn Ann Pickar-Muniz
- 315 S 13th St Suite 2
- Herrin, IL
- Zip : 62948-3661
- Fax : (618) 942-5921
- Phone : (618) 964-4255
Second Address
- Dr. Jacquelyn Ann Pickar-Muniz
- 315 S 13th St Suite 2
- Herrin, IL
- Zip : 62948-3661
- Fax : (618) 942-5921
- Phone : (618) 964-4255
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 071005891 | IL |
| Y | 103T00000X | Psychologist | 071005891 | IL |
National Provider Identifier
| NPI | 1003919408 |
|---|---|
| Provider Name | Dr. Jacquelyn Ann Pickar-Muniz |
| First Address | Herrin, IL 62948-3661 |
| Second Address | Herrin, IL 62948-3661 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2006 |
| Last Update Date | 12/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10032028 | BCBS (01) | |
| S08909 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.