Forensic Psychological Services Llc | |
665 Highway 51 Ridgeland MS 39157-2136 | |
(601) 707-5023 | |
Not Available |
Full Name | Forensic Psychological Services Llc |
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Speciality | Psychologist - Clinical |
Location | 665 Highway 51, Ridgeland, Mississippi |
Authorized Official Name and Position | Amanda L Gugliano (OWNER/MANAGER) |
Authorized Official Contact | 6027407096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Forensic Psychological Services Llc 1490 W Government St Suite 7 Brandon MS 39042-3024 Ph: () - | Forensic Psychological Services Llc 665 Highway 51 Ridgeland MS 39157-2136 Ph: (601) 707-5023 |
NPI Number | 1164872867 |
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Provider Enumeration Date | 06/14/2016 |
Last Update Date | 06/14/2016 |
Identifier | Type | State | Issuer |
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1164872867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 50875 (Mississippi) | Primary |
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