| NPI | 1437560976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GUESS Office Manager 601-264-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 18194) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |