| NPI | 1356548549 |
|---|---|
| Doing Business As | DESOTO BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN WILSON Psychologist Owner 662-349-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-06-30 |