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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

NPI Number 1750577805
LBN Legal business name LIVE OAK PSYCHOLOGICAL ASSOCITAES
Authorized official LISA DIETH - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2007
Last updated 09/22/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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