Children's Psychiatric Clinic | |
3531 Lakeland Dr Ste 1052 Flowood MS 39232-8016 | |
(601) 939-7990 | |
(601) 939-7254 |
Full Name | Children's Psychiatric Clinic |
---|---|
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 3531 Lakeland Dr Ste 1052, Flowood, Mississippi |
Authorized Official Name and Position | John E Wilkaitis (OWNER) |
Authorized Official Contact | 6019397990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Children's Psychiatric Clinic 3531 Lakeland Dr Ste 1052 Flowood MS 39232-8016 Ph: (601) 939-7990 | Children's Psychiatric Clinic 3531 Lakeland Dr Ste 1052 Flowood MS 39232-8016 Ph: (601) 939-7990 |
NPI Number | 1891136818 |
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Provider Enumeration Date | 07/08/2013 |
Last Update Date | 07/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891136818 | NPI | - | NPPES |
03932074 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 174-35 (Mississippi) | Primary |
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