Will's Way, Llc

NPI 1063795870 - Psychologist - 103TS0200X

NPI Details
NPI 1063795870
Enumeration Date 09/28/2011
Last Updated 09/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DANNELL SPEIGHTS DANNELL
Position CO-OWNER PROGRAM DIRECTOR
Phone (601) 466-9190
Fax (186) 662-5055
Practice Location
604 ADELINE ST
SUITE B
HATTIESBURG MS, 39401-3842, US
Phone (601) 466-9190
Fax (186) 662-5055
Business Location
PO BOX 15955
HATTIESBURG MS, 39404-5955, US
Phone (601) 466-9190
Fax (186) 662-5055
Toxanomy
Taxonomy Code 103TS0200X
License State Mississippi
License Number 204130
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According to our database, Will's Way, Llc NPI is 1063795870, taxonomy code is 103TS0200X and license number is 204130, license state is located at Mississippi. Will's Way, Llc physically located at 604 Adeline St, Hattiesburg MS, 39401-3842. NPI Number 1033115704 has the healthcare provider type.

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1063795870 NPI number is provided on an as is basis without warranty of any kind. 1063795870 is maintained by the National Plan & Provider Enumeration System. The contents of Will's Way, Llc are for informational purposes only.