| Blue Sky Pediatric Psychology, Llc | |
|
402a Legacy Park Ridgeland MS 39157-4315 | |
| (601) 427-9264 | |
| Not Available |
| Full Name | Blue Sky Pediatric Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 402a Legacy Park, Ridgeland, Mississippi |
| Authorized Official Name and Position | Neelima Duncan (DIRECTOR) |
| Authorized Official Contact | 6014279264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Pediatric Psychology, Llc 402a Legacy Park Ridgeland MS 39157-4315 Ph: () - | Blue Sky Pediatric Psychology, Llc 402a Legacy Park Ridgeland MS 39157-4315 Ph: (601) 427-9264 |
| NPI Number | 1952183519 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952183519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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