| University Of Mississippi | |
|
G382 Kinard Hall University MS 38677 | |
| (662) 915-7385 | |
| (662) 915-1396 |
| Full Name | University Of Mississippi |
|---|---|
| Speciality | Community/behavioral Health |
| Location | G382 Kinard Hall, University, Mississippi |
| Authorized Official Name and Position | Scott A Gustafson (DIRECTOR) |
| Authorized Official Contact | 6629155272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Mississippi G382 Kinard Hall University MS 38677 Ph: (662) 915-7385 | University Of Mississippi G382 Kinard Hall University MS 38677 Ph: (662) 915-7385 |
| NPI Number | 1962618223 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962618223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |