Individual provider · Type 1 NPI

C Gerald O'Brien Jr., PhD

Psychologist · Jackson, MS

NPI number 1972696896 Active

Practice location

640 Lakeland East Drive, Suite F
Jackson, MS 39232-9778

Fax (601) 664-6732

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X15-167 (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 1972696896

C Gerald O'Brien Jr., PhD's National Provider Identifier is 1972696896, issued on Oct 2, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.