NPI 1417514274

Cardinal Clinical Consulting, LLC

Organisation Clinical Psychologist Tupelo, MS

Practice location

Address: 2625 Traceland Dr STE B, Tupelo, MS 38801-4240
Phone: (662) 269-3599
Fax: (662) 259-2503

Authorised official

Name: Joshua C Fulwiler
Title: Owner
Phone: (662) 269-3599

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Other Psychologist providers in Mississippi →

Registry record

NPI: 1417514274
Entity type: Organization
NPI issued: 28 May 2019
Record last updated: 28 May 2019

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.