| Psychological Consultants Pa | |
|
135 Cambridge Cove Clinton MS 39056-9655 | |
| (601) 925-9444 | |
| (601) 924-9402 |
| Full Name | Psychological Consultants Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 135 Cambridge Cove, Clinton, Mississippi |
| Authorized Official Name and Position | Billy Reed Fox (PRESIDENT) |
| Authorized Official Contact | 6019259444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Consultants Pa 135 Cambridge Cove Clinton MS 39056-9655 Ph: (601) 925-9444 | Psychological Consultants Pa 135 Cambridge Cove Clinton MS 39056-9655 Ph: (601) 925-9444 |
| NPI Number | 1023176633 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023176633 | NPI | - | NPPES |
| 09685067 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 198 (Mississippi) | Primary |
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