Individual provider · Type 1 NPI
Ellen M. Sundberg, PhD
Psychologist · Hattiesburg, MS
Practice location
312 S 25th Ave
Hattiesburg, MS 39401-7301
Fax (601) 296-0119
Mailing address
PO Box 17743
Hattiesburg, MS 39404-7743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 34 560 (MS) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1194949602
Ellen M. Sundberg, PhD's National Provider Identifier is 1194949602, issued on Apr 13, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Nov 26, 2008.