Look up the most recent NPI and PECOS records

Erin Dehon

Psychologist

Behavioral Health & Social Service Providers

2500 N State St, Dept Of Emergency Medicine, Jackson, MS 39216-4500

(601) 984-5571 (601) 925-6805

PECOS Enrollment

Based on the most recent information from CMS, provider Erin Dehon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1275966749
Provider Type
Individual
Full Name
Dehon, Erin
Credential
PH.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/19/2013
Last Updated
1/24/2014

Contact Information

Practice Location

2500 N State St, Dept Of Emergency Medicine, Jackson, MS 39216-4500

(601) 984-5571

Unlisted Fax

Mailing Location

PO Box 11407, Dept 2130, Birmingham, AL 35246-2130

(601) 925-6805

(601) 926-4971

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License 53920 Mississippi

Provider Identifiers

ID	Description	Issuer
ID 04138707	Description Medicaid	Issuer Unlisted Mississippi

Erin Dehon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Connolly, Kevin Mark

Karlson, Cynthia Windham

Burgess, Danny Ray

Smith, Patrick O

Logan, Patricia

Elkin, Thomas David

Johnson, Phillip

Taravella, Cicely C.

Crane, Kristi Leann

Cox, Amanda