| Magnolia Psychiatric Pa | |
|
2124 Government St Ocean Springs MS 39564-3937 | |
| (228) 818-9050 | |
| (228) 872-6300 |
| Full Name | Magnolia Psychiatric Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2124 Government St, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Tracey L Mattina (MANAGER) |
| Authorized Official Contact | 2288180563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Psychiatric Pa 2124 Government St Ocean Springs MS 39564-3937 Ph: (228) 818-9050 | Magnolia Psychiatric Pa 2124 Government St Ocean Springs MS 39564-3937 Ph: (228) 818-9050 |
| NPI Number | 1306031752 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306031752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 18977 (Mississippi) | Primary |
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