NPI | 1225839707 |
---|---|
Doing Business As | SOUTHERN PSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | ROBIN BRYANT PEE Provider 662-582-0126 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2025-03-21 |
Last Update Date | 2025-03-21 |