NPI 1063795870
Will's Way, LLC
Practice location
- Address
- 604 Adeline St Suite B, Hattiesburg, MS 39401-3842
- Phone
- (601) 466-9190
- Fax
- (186) 662-5055
- Mailing address
- PO Box 15955, Hattiesburg, MS 39404-5955
Authorised official
- Name
- Dannell Speights Roberts
- Title
- Co-Owner Program Director
- Phone
- (601) 466-9190
Registered specialties (2)
School Psychologist
Primary
School Psychologist
Registry record
- NPI
- 1063795870
- Entity type
- Organization
- NPI issued
- 28 Sep 2011
- Record last updated
- 28 Sep 2011
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.