| Dr Dominik Lia Keller, PHD | |
|
5915 Getwell Rd Bldg B, Southaven, MS 38672-6455 | |
| (662) 349-2979 | |
| Not Available |
| Full Name | Dr Dominik Lia Keller |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 5915 Getwell Rd Bldg B, Southaven, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710627922 | NPI | - | NPPES |
| 200000200 | Medicaid | MS | |
| 110026265E | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 621149 (Mississippi) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dominik Lia Keller, PHD 5915 Getwell Rd Bldg B, Southaven, MS 38672-6455 Ph: (662) 349-2979 | Dr Dominik Lia Keller, PHD 5915 Getwell Rd Bldg B, Southaven, MS 38672-6455 Ph: (662) 349-2979 |
Dr. Patricia Michele Wright, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5627 Getwell Rd, Bldg B, Ste 4, Southaven, MS 38672 Phone: 662-349-2979 Fax: 662-349-2978 | |
Sarah Irby, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7075 Golden Oaks Loop W, Southaven, MS 38671 Phone: 662-228-5708 Fax: 678-868-2843 | |
Olivia Chonte King Deberry, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2103 Ansley Park Ln, Southaven, MS 38672 Phone: 901-240-2955 | |
Dr. Shirley Ann Wilson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7165 B Swinnea, Ste 1, Southaven, MS 38671 Phone: 662-349-6658 Fax: 662-349-6856 | |
Dr. Paul Sheldon Leonard, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7075 Golden Oaks Loop W, Southaven, MS 38671 Phone: 901-485-1848 Fax: 662-349-3988 |