NPI 1104916766

John Clemmons, PHD

Practitioner Psychologist Hattiesburg, MS

Practice location

Address: 239 Methodist Blvd, Hattiesburg, MS 39402-1297
Phone: (601) 296-2125
Fax: (601) 268-8645

Registered specialties (3)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 52911 (MS)

Other Psychologist providers in Mississippi →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 52911 (MS)

Clinical Child & Adolescent Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 52911 (MS)

Registry record

NPI: 1104916766
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2006
Record last updated: 8 Oct 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.