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John Clemmons

Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist

239 Methodist Blvd
Hattiesburg , Mississippi 39402-1297

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Image

John Clemmons

Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist

239 Methodist Blvd
Hattiesburg , Mississippi 39402-1297

(601) 268-8645

Write a Review Save Call

John Clemmons

Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist

239 Methodist Blvd
Hattiesburg , Mississippi 39402-1297

(601) 268-8645 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Psychologist
  • Clinical Psychologist
  • Clinical Child & Adolescent Psychologist

Languages spoken

  • English

Location

239 Methodist Blvd Hattiesburg , Mississippi 39402-1297

First Address

  • John Clemmons
  • 239 Methodist Blvd
  • Hattiesburg, MS
  • Zip : 39402-1297
  • Fax : (601) 268-8645
  • Phone : (601) 296-2125

Second Address

  • John Clemmons
  • 239 Methodist Blvd
  • Hattiesburg, MS
  • Zip : 39402-1297
  • Fax : (601) 268-8645
  • Phone : (601) 296-2125

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FAQs


Where did John Clemmons attend graduate school?

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Where did John Clemmons do his residency?

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Where did John Clemmons do his fellowship?

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Is John Clemmons board certified?

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What type of doctor is John Clemmons

Psychologist

In what state does John Clemmons practice in?

Mississippi

Where is John Clemmons ’s practice located?

239 Methodist Blvd , Hattiesburg, Mississippi, 39402-1297

What is John Clemmons ’s gender?

Male

Is John Clemmons a sole practitioner?

No

Is John Clemmons accepting new patients?

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What languages does John Clemmons speak?

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Does John Clemmons accept insurance?

Yes, John Clemmons accepts insurance

Does John Clemmons offers telemedicine?

John Clemmons has not indicated if he offers telemedicine

What is John Clemmons ’s professional license number?

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What is John Clemmons ’s NPI number?

1104916766

Does John Clemmons have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 102L00000X Psychologist 52911 MS
Y 103T00000X Psychologist 52911 MS
N 103G00000X Clinical Psychologist 52911 MS
N 103TC0700X Clinical Psychologist 52911 MS
N 103TC2200X Clinical Child & Adolescent Psychologist 52911 MS

National Provider Identifier

NPI 1104916766
Provider Name John Clemmons
First Address Hattiesburg, MS 39402-1297
Second Address Hattiesburg, MS 39402-1297
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/10/2006
Last Update Date 08/10/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
03051508 (05) MS

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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