| NPI | 1568814812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY M. STONE Psychologist 228-331-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 53935) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |