Mollie Wyatt PH.D.

NPI 1497968911 - Psychologist - 103T00000X

NPI Details
NPI 1497968911
Gender Female
Enumeration Date 05/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4055 I-55 NORTH
SUITE 293
JACKSON MS, 39211, US
Phone (601) 982-5943
Fax (601) 362-4089
Business Location
1032 MEADOWBROOK ROAD
JACKSON MS, 39206, US
Phone
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Mississippi
License Number 305
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According to our database, Dr. Mollie Wyatt PH.D. NPI is 1497968911, taxonomy code is 103T00000X and license number is 305, license state is located at Mississippi. Mollie Wyatt PH.D. physically located at 4055 I-55 North, Jackson MS, 39211. NPI Number Mollie Wyatt PH.D. has the Individual type.

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1497968911 NPI number is provided on an as is basis without warranty of any kind. 1497968911 is maintained by the National Plan & Provider Enumeration System. The contents of Mollie Wyatt PH.D. are for informational purposes only.