| Little And Associates Llc | |
|
8830 Centre St Suite 5 Southaven MS 38671-2609 | |
| (662) 510-3986 | |
| (662) 510-3988 |
| Full Name | Little And Associates Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8830 Centre St, Southaven, Mississippi |
| Authorized Official Name and Position | Paul Howard Day (GENERAL MANAGER) |
| Authorized Official Contact | 6625103986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little And Associates Llc 8830 Centre St Suite 5 Southaven MS 38671-2609 Ph: (662) 510-3986 | Little And Associates Llc 8830 Centre St Suite 5 Southaven MS 38671-2609 Ph: (662) 510-3986 |
| NPI Number | 1871749200 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 11/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871749200 | NPI | - | NPPES |
| 680000164 | Other | MS | MEDICARE PTEN |
| 510G700396 | Other | MEDICARE - LA PTAN | |
| 512I680050 | Other | MEDICARE - LA MLH PTAN | |
| 00114932 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 31-465 (Mississippi) | Primary |
| 103TC0700X | Psychologist - Clinical | P0000001384 (Tennessee) | Secondary |
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