Whalio Doctors

NPI 1215375746

Payne Behavioral Medicine

Organisation Clinical Psychologist Jackson, MS

Practice location

Address
4005 N State St STE N, Jackson, MS 39206-5755
Phone
(601) 506-8735
Fax
(601) 767-2747

Authorised official

Name
Nanetta Payne
Title
Founder/President
Phone
(601) 506-8735

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 48841 (MS)

Registry record

NPI
1215375746
Entity type
Organization
NPI issued
6 Jun 2013
Record last updated
6 Jun 2013

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.