| Scott Willoughby, Phd, Llc | |
|
1 Commerce Dr Suite 205 Hattiesburg MS 39402-1499 | |
| (601) 466-1970 | |
| Not Available |
| Full Name | Scott Willoughby, Phd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1 Commerce Dr, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Scott Willoughby (MEMBER) |
| Authorized Official Contact | 6014661970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Willoughby, Phd, Llc Po Box 16954 Hattiesburg MS 39404-6954 Ph: (601) 466-1970 | Scott Willoughby, Phd, Llc 1 Commerce Dr Suite 205 Hattiesburg MS 39402-1499 Ph: (601) 466-1970 |
| NPI Number | 1982981247 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982981247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 41-003 (Mississippi) | Primary |
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