National Provider Identifier Database

UPA PLLC CHILD DEV CLINIC
Developmental - Behavioral Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.


Contact Information

UPA PLLC CHILD DEV CLINIC
2500 N STATE ST
JACKSON, MS39216-4500
Phone: 601-984-5274
Fax:
Website:
Specialty Taxonomy Code
* Developmental - Behavioral Pediatrics 2080P0006X

* Indicates primary specialty

NPI Profile & details for UPA PLLC CHILD DEV CLINIC

NPI Number 1841343605
Legal business name
LBN
UPA PLLC CHILD DEV CLINIC
Authorized official OWEN EVANS - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/18/2007
Last updated 06/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 09014110

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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