DR. ERIC REYNOLDS DAHLEN (NPI# 1851920680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851920680 |
| Entity Type | Individual |
| Full Name | DR. ERIC REYNOLDS DAHLEN |
| Credential | PH.D. |
| Practice Address |
118 College Dr # 5025 Hattiesburg MS 39406-0001 |
| Practice Telephone | 6012664608 |
| Mailing Telephone | 6012664608 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
41-672 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245379098 | Eric N Dahlen | Dentist | 8720 Ne Centerpointe Dr, Suite B221, Vancouver, WA 98665-1160 | 2007-02-06 |
| 1003365214 | Eric Dahlen | Pharmacist | 810 12th St, Hood River, OR 97031-1587 | 2016-09-28 |
| Street Address |
118 COLLEGE DR # 5025 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39406-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689033268 | Chandra Nicole Strange | Psychologist | 118 College Dr # 5025, Hattiesburg, MS 39406-0001 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427559731 | Regan Ashley Nicholson I | Specialist/Technologist | 118 College Dr., Hattiesburg, MS 39406 | 2018-02-22 |
| 1083038590 | Christopher Clapton | Specialist/Technologist | 118 College Dr # 5017, Hattiesburg, MS 39406 | 2014-02-05 |
| 1407992233 | Katherine White | Nurse Practitioner | 118 College Dr, #5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1689710410 | Jacqueline Anne Wiebe | Psychiatry & Neurology | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1982740718 | Bennett E Smith Jr. | General Practice | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1396225025 | Leslie Oglesby | Specialist/Technologist | 118 College Dr # 5122, Hattiesburg, MS 39406-0001 | 2018-08-21 |
| 1710359922 | Chantel Nicole Chatham | Dietitian, Registered | 118 College Dr # 5114, Hattiesburg, MS 39406-0001 | 2015-10-27 |
| 1700272432 | Southern Miss Autism Research Team (smart) Clinic | Behavioral Analyst | 118 College Dr Box 5025, University of Southern Mississippi, Hattiesburg, MS 39406-0001 | 2015-04-09 |
| 1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
| 1215273032 | University of Southern Mississippi | Speech-Language Pathologist | 118 College Dr Box 5215, Hattiesburg, MS 39406-0001 | 2012-12-26 |
| Find all providers in zip 39406 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467001313 | Ashley Brianne Batastini | Psychologist | 412 S 22nd Ave, Hattiesburg, MS 39401-7315 | 2019-09-04 |
| 1689033268 | Chandra Nicole Strange | Psychologist | 118 College Dr # 5025, Hattiesburg, MS 39406-0001 | 2016-02-11 |
| 1659641538 | Gregory Lee Futral | Psychologist | 304 Emerald Ln, Hattiesburg, MS 39401-6313 | 2012-01-09 |
| 1659840171 | David Wayne Gavel | Psychologist | 1 Commerce Dr Ste 106, Hattiesburg, MS 39402-1499 | 2018-11-14 |
| 1154631059 | Ryan Myles Denney | Psychologist | 2 Southern Point Pkwy, Suite 200, Hattiesburg, MS 39401-8025 | 2010-10-14 |
| 1831345412 | Leah Claire Bennett | Psychologist | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2008-08-14 |
| 1093745770 | Lynwood Clinton Wheeler | Psychologist | 102 Medical Park, Hattiesburg, MS 39401 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962563 | Cassycel Thigpen | Psychologist | 4894a Highway 584 Liberty, 4894a Highway 584 Liberty, Liberty, MS 39645 | 2020-11-05 |
| 1396202693 | Sondra Jones Satcher | Psychologist | 50 Robins Lake Rd, Natchez, MS 39120-9311 | 2019-02-23 |
| 1073083945 | Daniel Locke Deason | Psychologist | 320 Lester Hall, University, MS 38677 | 2018-12-04 |
| 1275028193 | Jacqueline Reese-smith | Psychologist | 1400 J. R. Lynch Street, Department of Psychology, Jackson, MS 39217 | 2018-06-22 |
| 1629361399 | Jeffrey S Lawley | Psychologist | 400 Veterans Ave Bldg 25, Biloxi, MS 39531-2410 | 2011-05-27 |
| 1386970622 | Jane Schenck Varner | Psychologist | 400 Veterans Ave # 116b, Biloxi, MS 39531-2410 | 2009-10-21 |
| 1205037512 | Janise A. Hinson | Psychologist | 4500 I-55 North Suite #208, Highland Village, Jackson, MS 39211 | 2007-05-31 |
| 1164587853 | William P Osborn | Psychologist | 4824 Old Highway 11, Purvis, MS 39475-3567 | 2006-12-24 |
| 1821195215 | F J Eicke | Psychologist | 2902 Bienville Blvd, Suite 3, Ocean Springs, MS 39564-4303 | 2006-09-20 |
| 1184729584 | Anthony Womack Pollard | Psychologist | 1097 Acadian Dr, Gulfport, MS 39507-3545 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39406 |
Please comment or provide details below to improve the information on DR. ERIC REYNOLDS DAHLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.