Live Oak Psychological Associtaes
Live Oak Psychological Associtaes provides Clinical Psychologist services in Jackson, Mississippi. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1151 N State St Ste 212Jackson, MS 39202-2407 Not confirmed with CMS for 19 years — call before visiting
Phone: (601) 352-7398
Fax: (601) 352-0442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X |
|---|
Record details
| NPI number | 1750577805 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Dieth — Office Manager · (601) 352-7398 |
| NPI enumerated | September 22, 2007 |
| Last updated in NPPES | September 22, 2007 |
| Mailing address | 1151 N State St, Ste 212, Jackson, MS 39202-2407 |
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