| Geralyn Datz Phd | |
|
502 Court St Hattiesburg MS 39401-3944 | |
| (601) 434-9402 | |
| Not Available |
| Full Name | Geralyn Datz Phd |
|---|---|
| Speciality | Psychologist - Health |
| Location | 502 Court St, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Geralyn Datz (OWNER) |
| Authorized Official Contact | 6014349402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geralyn Datz Phd 502 Court St Hattiesburg MS 39401-3944 Ph: () - | Geralyn Datz Phd 502 Court St Hattiesburg MS 39401-3944 Ph: (601) 434-9402 |
| NPI Number | 1891003331 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 02/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891003331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
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