| Jackson Psychological Group Pa | |
|
1818 Crane Ridge Dr Suite 101 Jackson MS 39216-4912 | |
| (601) 981-1008 | |
| Not Available |
| Full Name | Jackson Psychological Group Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1818 Crane Ridge Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Jesse F Dees (TREASURER) |
| Authorized Official Contact | 6019811008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Psychological Group Pa 1818 Crane Ridge Dr Suite 101 Jackson MS 39216-4912 Ph: (601) 981-1008 | Jackson Psychological Group Pa 1818 Crane Ridge Dr Suite 101 Jackson MS 39216-4912 Ph: (601) 981-1008 |
| NPI Number | 1720267974 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720267974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 175 (Mississippi) | Primary |
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