National Provider Identifier Database

SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Health

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including Research, Clinical services, Consulting with, educating, and supervising other health care providers and psychologists, Advising organizations, institutions, the public, and policymakers.


Contact Information

SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
1 COMMERCE DR
STE 106
HATTIESBURG, MS39402-1499
Phone: 601-255-1618
Fax: 601-255-1619
Website:
Specialty Taxonomy Code
* Health 103TH0004X
Clinical 103TC0700X
Cognitive & Behavioral 103TB0200X

* Indicates primary specialty

NPI Profile & details for SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC

NPI Number 1487950564
Legal business name
LBN
SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Authorized official GERALYN DATZ - (CLINICAL DIRECTOR/OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/07/2011
Last updated 01/15/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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