NPI 1487950564

Southern Behavioral Medicine Associates PLLC

Organisation Health Psychologist Hattiesburg, MS

Practice location

Address: 1 Commerce Dr STE 106, Hattiesburg, MS 39402-1499
Phone: (601) 255-1618
Fax: (601) 255-1619
Mailing address: PO Box 18799, Hattiesburg, MS 39404-8799

Authorised official

Name: Geralyn Datz
Title: Clinical Director/Owner
Phone: (601) 255-1618

Registered specialties (3)

Health Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TH0004X

Other Psychologist providers in Mississippi →

Cognitive & Behavioral Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TB0200X

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Registry record

NPI: 1487950564
Entity type: Organization
NPI issued: 7 Feb 2011
Record last updated: 15 Jan 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.