NPI 1043549280

University of Mississippi Medical Center

Organisation Counseling Psychologist Jackson, MS

Practice location

Address: 2500 N State St # H819-01, Jackson, MS 39216-4500
Phone: (601) 984-5957
Mailing address: 2500 N State St, Jackson, MS 39216-4500

Authorised official

Name: Keith Gran
Title: Ceo for University Physician
Phone: (601) 815-4775

Registered specialties (2)

Counseling Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 49850 (MS)

Other Psychologist providers in Mississippi →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 22061 (CA)

Registry record

NPI: 1043549280
Entity type: Organization
NPI issued: 17 Dec 2009
Record last updated: 25 Oct 2010

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.