SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC

HATTIESBURG, MS
NPI1487950564
Entity TypeOrganization
Authorized ContactGERALYN DATZ
Clinical Director/Owner
601-255-1618
Organization Subpart ?No
Primary Taxonomy103TH0004X Psychologist, Health
Additional Taxonomies103TB0200X Psychologist, Cognitive & Behavioral
103TC0700X Psychologist, Clinical
Enumeration Date2011-02-07
Last Update Date2013-01-15
Business Address
SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
1 COMMERCE DR STE 106
HATTIESBURG, MS 39402-1499
Phone number: 601-255-1618
Mailing Address
SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
PO BOX 18799
HATTIESBURG, MS 39404-8799
Phone number: 601-255-1618