NPI 1033578018

Magnolia Behavioral Psychology, PLLC

Organisation Psychologist Hattiesburg, MS

Practice location

Address: 6668 Hwy 98 Suite a, Hattiesburg, MS 39402-9098
Phone: (601) 348-7792

Authorised official

Name: Evan Henry Dart
Title: Licensed Psychologist
Phone: (985) 373-1497

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 55978 (MS)

Other Psychologist providers in Mississippi →

Registry record

NPI: 1033578018
Entity type: Organization
NPI issued: 18 Feb 2016
Record last updated: 29 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.