| Magnolia Behavioral Psychology | |
|
6668 Hwy 98 Suite A Hattiesburg MS 39402-9098 | |
| (601) 348-7792 | |
| Not Available |
| Full Name | Magnolia Behavioral Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 6668 Hwy 98, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Evan Henry Dart (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9853731497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Behavioral Psychology 6668 Hwy 98 Suite A Hattiesburg MS 39402-9098 Ph: () - | Magnolia Behavioral Psychology 6668 Hwy 98 Suite A Hattiesburg MS 39402-9098 Ph: (601) 348-7792 |
| NPI Number | 1033578018 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033578018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 55978 (Mississippi) | Primary |
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