J. Donald Matherne
Psychologist
180b Debuys Rd Ste 202
Biloxi
, Mississippi 39531-4407
J. Donald Matherne
Psychologist
180b Debuys Rd Ste 202
Biloxi
, Mississippi 39531-4407
(228) 385-1127
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- J. Donald Matherne
- 180b Debuys Rd Ste 202
- Biloxi, MS
- Zip : 39531-4407
- Fax : (228) 385-1127
- Phone : (228) 385-1827
Second Address
- J. Donald Matherne
- 180b Debuys Rd Ste 202
- Biloxi, MS
- Zip : 39531-4407
- Fax : (228) 385-1127
- Phone : (228) 385-1827
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | #78 | MS |
| Y | 103T00000X | Psychologist | #78 | MS |
National Provider Identifier
| NPI | 1013043041 |
|---|---|
| Provider Name | J. Donald Matherne |
| First Address | Biloxi, MS 39531-4407 |
| Second Address | Biloxi, MS 39531-4407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00110990 | (05) | MS |
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.