Individual provider · Type 1 NPI

Cicely C. Taravella, PhD

Clinical Psychologist · Jackson, MS

NPI number 1376894212 Active

Practice location

1500 E Woodrow Wilson Ave, Trp/mental Health (116A2)
Jackson, MS 39216-5116

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X52903 (MS)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1376894212

Cicely C. Taravella, PhD's National Provider Identifier is 1376894212, issued on Oct 1, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jackson, MS. The record was last updated on Oct 1, 2012.