| NPI | 1992924625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DAVID HESSON Director 601-749-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 44-713) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |