About
Dr. Geralyn Datz is a Clinical Psychologist in Hattiesburg, Mississippi. She graduated in 2004. She has over 17 years of experience. She is affiliated with Southern Behavioral Medicine Associates PLLC. Dr. Geralyn Datz is a group member of Southern Behavioral Medicine Associates PLLC. Contact Dr. Geralyn Datz to request her Medicare information, payment methods she accepts, or to book an appointment.
Basic Data
PECOS ID: 3870510431
Entity Type: Individual; Sole Proprietor
Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Organization Name: Southern Behavioral Medicine Associates PLLC
Gender
Female
Years in Practice
17 years
Healthcare Provider Taxonomy
- Code: 103TC0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Clinical
- Code: 103TH0004X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Health
- Code: 103TC0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Clinical
- Code: 103TH0004X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Health
Credentials
- Doctor of Philosophy (PHD)
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 56 | 56 |
| 96132 | Neuropsychological testing evaluation by qualified health care professional, first 60 minutes | 30 | 30 |
Group Practices
Group practices this therapist belongs to includes:
| Southern Behavioral Medicine Associates PLLC | |
|---|---|
| Address | 1 Commerce Dr |
| Suite 106 | |
| Hattiesburg, MS 39402-1499 | |
| Group PAC ID | 0547442766 |
| Group Members | 3 |
| Southern Behavioral Medicine Associates PLLC | |
|---|---|
| Address | 995 Robert Blvd |
| Slidell, LA 70458-2009 | |
| Group PAC ID | 0547442766 |
| Group Members | 3 |
Licenses
| Name | License Number | State |
|---|---|---|
| Psychologist | 45736 Verify | MS |
| Psychologist | 45-736 Verify | MS |
| Psychologist | 1140 Verify | LA |
Education
| Year Graduated |
|---|
| 2004 |
Practice Locations
1 Commerce Dr
Ste 205
Hattiesburg, MS 39402-1499
Phone Number: (601) 255-1618
Fax Number: (601) 255-1619
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