| Psychiatric Medicine And Therapy | |
|
1855 Lakeland Dr Suite P101 Jackson MS 39216-4913 | |
| (601) 366-4696 | |
| (601) 366-6574 |
| Full Name | Psychiatric Medicine And Therapy |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 1855 Lakeland Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Doug W Byrd (OWNER) |
| Authorized Official Contact | 6013664696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Medicine And Therapy 1855 Lakeland Dr Suite P101 Jackson MS 39216-4913 Ph: (601) 366-4696 | Psychiatric Medicine And Therapy 1855 Lakeland Dr Suite P101 Jackson MS 39216-4913 Ph: (601) 366-4696 |
| NPI Number | 1629378971 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629378971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 15999 (Mississippi) | Primary |
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