| Killebrew Psychological Services, Llc | |
|
133 Berry Ln Madison MS 39110-8616 | |
| (601) 750-6102 | |
| Not Available |
| Full Name | Killebrew Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 133 Berry Ln, Madison, Mississippi |
| Authorized Official Name and Position | Alyssa E. Killebrew (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6017506102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Killebrew Psychological Services, Llc 133 Berry Ln Madison MS 39110-8616 Ph: (601) 750-6102 | Killebrew Psychological Services, Llc 133 Berry Ln Madison MS 39110-8616 Ph: (601) 750-6102 |
| NPI Number | 1073988051 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Medicare PECOS PAC ID | 8426330226 |
|---|---|
| Medicare Enrollment ID | O20170130002648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073988051 | NPI | - | NPPES |
| Provider Name | Alyssa E Killebrew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306130125 PECOS PAC ID: 1052633294 Enrollment ID: I20141125001874 |
| Provider Name | Carleigh J Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164020848 PECOS PAC ID: 4284045485 Enrollment ID: I20201119000241 |
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