NPI 1063818508
Psyclinic, LLC
Practice location
- Address
- 2540 Flowood Dr Suite a, Flowood, MS 39232-9362
- Phone
- (601) 939-5993
- Fax
- (601) 939-5935
Authorised official
- Name
- Sudhaker Madakasira
- Title
- MD
- Phone
- (601) 939-5993
Registered specialties
Clinic/Center
Primary
Registry record
- NPI
- 1063818508
- Entity type
- Organization
- NPI issued
- 11 Nov 2014
- Record last updated
- 11 Nov 2014
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.