Whalio Doctors

NPI 1063795870

Will's Way, LLC

Organisation School Psychologist Hattiesburg, MS

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
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 47821 (MS)
School Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 204130 (MS)

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.