| Desoto Behavioral Health | |
|
7160 Tchulahoma Rd # B Ste 1 Southaven MS 38671-9266 | |
| (662) 349-6658 | |
| (662) 349-6856 |
| Full Name | Desoto Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 7160 Tchulahoma Rd # B, Southaven, Mississippi |
| Authorized Official Name and Position | Shirley Ann Wilson (PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 6623496658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Behavioral Health 7160 Tchulahoma Rd # B Ste 1 Southaven MS 38671-9266 Ph: (662) 349-6658 | Desoto Behavioral Health 7160 Tchulahoma Rd # B Ste 1 Southaven MS 38671-9266 Ph: (662) 349-6658 |
| NPI Number | 1356548549 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356548549 | NPI | - | NPPES |
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