Organization · Type 2 NPI
Region 8 Mh/mr Commission
Intellectual & Developmental Disabilities Psychologist · Brandon, MS
NPI number
1306178694
Active
Practice location
613 Marquette Road
Brandon, MS 39042
Fax (601) 824-0349
Mailing address
PO Box 88, 613 Marquette Road
Brandon, MS 39042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | R08-BMR-WAC-PREVOC-0 (MS) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
4 other providers at this address
- Madison Rankin Simpson Mental HealthMental Health Clinic/Center (Including Community Mental Health Center) Brandon, MS NPI 1063428761
- Amy L. Garner, LMSWSocial Worker Brandon, MS NPI 1851464598
- Misty M. Westbrook, LPCProfessional Counselor Brandon, MS NPI 1942397468
- Nena M. Merrite Williams, LMFTMarriage & Family Therapist Brandon, MS NPI 1174894463
About NPI 1306178694
Region 8 Mh/mr Commission's National Provider Identifier is 1306178694, issued on Feb 11, 2010. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Brandon, MS. The record was last updated on Jun 27, 2022.