| River Psychology Pllc | |
|
8990 Lorraine Rd Gulfport MS 39503-4176 | |
| (228) 331-3310 | |
| (228) 284-1608 |
| Full Name | River Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 8990 Lorraine Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Jay M. Stone (PSYCHOLOGIST) |
| Authorized Official Contact | 2283313310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Psychology Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 | River Psychology Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 |
| NPI Number | 1568814812 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Medicare PECOS PAC ID | 9638462682 |
|---|---|
| Medicare Enrollment ID | O20160728000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568814812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 53935 (Mississippi) | Primary |
| Provider Name | Jay M Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801876545 PECOS PAC ID: 6800199167 Enrollment ID: I20160728000222 |
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