NPI 1124256789
Bayside Psychological Services LLC
Practice location
- Address
- 273 Azalea Rd STE 305, Mobile, AL 36609-1970
- Phone
- (251) 599-3728
Authorised official
- Name
- Jennifer M Jackson
- Title
- Clinical Psychologist
- Phone
- (251) 599-3728
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1124256789
- Entity type
- Organization
- NPI issued
- 22 Jun 2009
- Record last updated
- 22 Jun 2009
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.