| Mississippi Center For Autism And Related Developmental Disabilities | |
|
4061 Suzanne Dr Suite C Diberville MS 39540-3735 | |
| (228) 396-4434 | |
| Not Available |
| Full Name | Mississippi Center For Autism And Related Developmental Disabilities |
|---|---|
| Speciality | Psychologist |
| Location | 4061 Suzanne Dr, Diberville, Mississippi |
| Authorized Official Name and Position | Aimee M Tisdale (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2288069936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Center For Autism And Related Developmental Disabilities 4061 Suzanne Dr Suite C Diberville MS 39540-3735 Ph: (228) 396-4434 | Mississippi Center For Autism And Related Developmental Disabilities 4061 Suzanne Dr Suite C Diberville MS 39540-3735 Ph: (228) 396-4434 |
| NPI Number | 1891084414 |
|---|---|
| Provider Enumeration Date | 04/04/2011 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891084414 | NPI | - | NPPES |
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