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Contact Information

RICHARDSON PSYCHIATRIC P.A.
4500 I 55 N STE 234
JACKSON, MS39211-5932
 Phone: 601-982-8531
 Fax: 601-982-1115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for RICHARDSON PSYCHIATRIC PA · (Female)

NPI # 1619123056
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2008
Last updated 08/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1409871
  • MS Medicaid 00119784
  • MS Other 587948354B BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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