NPI 1467505222

Upa PLLC Ped Psychology

Organisation Cognitive & Behavioral Psychologist Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-5274

Authorised official

Name: Owen B Evans
Title: Manager
Phone: (601) 984-5214

Registered specialties

Cognitive & Behavioral Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TB0200X

Other Psychologist providers in Mississippi →

Registry record

NPI: 1467505222
Entity type: Organization
NPI issued: 18 Jan 2007
Record last updated: 22 Aug 2020

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.