| Nn Horton Phd Mhp Llc | |
|
210 W Jackson St Ridgeland MS 39157-2312 | |
| (601) 672-3841 | |
| (601) 707-7291 |
| Full Name | Nn Horton Phd Mhp Llc |
|---|---|
| Speciality | Psychologist |
| Location | 210 W Jackson St, Ridgeland, Mississippi |
| Authorized Official Name and Position | Nancy N Horton (OWNER) |
| Authorized Official Contact | 6016723841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nn Horton Phd Mhp Llc 210 W Jackson St Ridgeland MS 39157-2312 Ph: (601) 672-3841 | Nn Horton Phd Mhp Llc 210 W Jackson St Ridgeland MS 39157-2312 Ph: (601) 672-3841 |
| NPI Number | 1851952980 |
|---|---|
| Provider Enumeration Date | 06/28/2019 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 9739418732 |
|---|---|
| Medicare Enrollment ID | O20190916002904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851952980 | NPI | - | NPPES |
| 1144439811 | Other | MS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Nancy N Horton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144439811 PECOS PAC ID: 7113256116 Enrollment ID: I20200306001085 |
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