| NPI | 1043549280 |
|---|---|
| Other Name | UMMC |
| Entity Type | Organization |
| Authorized Contact | KEITH GRAN CEO For University Physician 601-815-4775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MS 49850) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 22061) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2010-10-25 |