| Jay Thames Moak, PHD | |
|
1701 White St, Mccomb, MS 39648-2711 | |
| (601) 684-2173 | |
| (601) 249-4234 |
| Full Name | Jay Thames Moak |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1701 White St, Mccomb, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619919701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 45-731 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Thames Moak, PHD Po Box 768, Mccomb, MS 39649-0768 Ph: (601) 249-2173 | Jay Thames Moak, PHD 1701 White St, Mccomb, MS 39648-2711 Ph: (601) 684-2173 |
Dr. James Stephen Ellis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234 | |
Tonna Gaines, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-249-4217 Fax: 601-249-4234 | |
Heidi L Vine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234 |