| NPI | 1467948091 |
|---|---|
| Former Legal Business Name | L AND A SERVICES |
| Entity Type | Organization |
| Authorized Contact | LINDER HOWZE Director/Psychologist 662-402-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 116142) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MS 116142) |
| 103TC1900X Psychologist, Counseling (Licence: MS 116142) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MS 116142) | |
| 103TS0200X Psychologist, School (Licence: MS 116142) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |