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Contact Information

LIVE OAK PSYCHOLOGICAL ASSOCITAES
1151 N STATE ST
STE 212
JACKSON, MS39202-2407
 Phone: 601-352-7398
 Fax: 601-352-0442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIVE OAK PSYCHOLOGICAL ASSOCITAES · (Female)

NPI Number 1750577805
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2007
Last updated 09/22/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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