Individual
DR. GERALYN DATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 COMMERCE DR, STE 205, HATTIESBURG, MS 39402-1499
(601) 255-1618
(601) 255-1619
Mailing address
PO BOX 1614, HATTIESBURG, MS 39403-1614
(601) 255-1618
(601) 255-1619
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1140
LA
103TC0700X
Clinical Psychologist
45736
MS
103TH0004X
Health Psychologist
1140
LA
103TH0004X
Health Psychologist
Primary
45-736
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933077
—
AL
05
—
06036275
—
MS
Enumeration date
08/16/2006
Last updated
11/30/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us