| Mary Cecille Goysich, PSYD | |
|
4579 S Eason Blvd, Tupelo, MS 38801-6539 | |
| (662) 377-3161 | |
| (662) 377-2993 |
| Full Name | Mary Cecille Goysich |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 4579 S Eason Blvd, Tupelo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508804626 | NPI | - | NPPES |
| 00117696 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 33538 (Mississippi) | Primary |
| Entity Name | Brian Thomas Psy D Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972924033 PECOS PAC ID: 5496976102 Enrollment ID: O20141022001042 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Cecille Goysich, PSYD 450 E President Ave, Tupelo, MS 38801-5599 Ph: (662) 377-4685 | Mary Cecille Goysich, PSYD 4579 S Eason Blvd, Tupelo, MS 38801-6539 Ph: (662) 377-3161 |
Michael Tennis Oliver, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4579 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-3161 Fax: 662-377-2993 | |
Dr. William T Dalton Iii, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 942 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-620-0101 Fax: 662-620-0095 | |
Dr. Margaret Koranek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 211 N Madison St, Tupelo, MS 38804 Phone: 662-840-2711 Fax: 662-844-9837 | |
Dr. Joe Edward Morris, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1018 North Gloster, Tupelo, MS 38804 Phone: 662-844-3065 Fax: 662-842-3447 | |
Susan Patrice Hyatt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4579 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-3161 Fax: 662-377-2993 | |
Louis Masur Iii, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-504-4382 Fax: 662-680-6416 |