| Shine Pediatric Psychology Services Pllc | |
|
2449 N Park Dr Ste C Meridian MS 39305-2669 | |
| (601) 282-5250 | |
| (601) 286-5305 |
| Full Name | Shine Pediatric Psychology Services Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2449 N Park Dr Ste C, Meridian, Mississippi |
| Authorized Official Name and Position | Michelle Boucher-snodgrass (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6012825250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Pediatric Psychology Services Pllc 2449 N Park Dr Ste C Meridian MS 39305-2669 Ph: (601) 282-5250 | Shine Pediatric Psychology Services Pllc 2449 N Park Dr Ste C Meridian MS 39305-2669 Ph: (601) 282-5250 |
| NPI Number | 1982321964 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982321964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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