institution
The Nordal Clinic, Pa
Health Service Psychologist in Vicksburg, Mississippi
NPI 1558483743

The Nordal Clinic, Pa is a Health Service Psychologist based in Vicksburg, MS and is specialized in Health Service. The Nordal Clinic, Pa practices in Vicksburg, MS. The NPI Number for The Nordal Clinic, Pa is 1558483743 and holds a License No. (Mississippi).

The current practice location address for The Nordal Clinic, Pa is 1121 Grove St, Vicksburg, MS and can be reached out via phone at 601-634-0118 and via fax at 601-630-0302. You can also correspond with The Nordal Clinic, Pa through the mailing address at 1121 GROVE ST, VICKSBURG, MS - 39183-2913 (mailing address contact number: 601-634-0118).

Location: 1121 Grove St, Vicksburg, MS, 39183-2913
institution
Provider Profile Details
NPI Number
1558483743
Provider Name
The Nordal Clinic, Pa
Credential
Provider Entity Type
Organization
Address
1121 Grove St, Vicksburg, MS, 39183-2913
Phone Number
601-634-0118
Fax Number
601-630-0302
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09011887 05 MS
institution
Provider Business Practice Location Address Details
Address
1121 Grove St
City
State
Zip
39183-2913
Phone Number
601-634-0118
Fax Number
601-630-0302
person
Provider Business Mailing Address Details
Address
1121 Grove St
City
State
Zip
39183-2913
Phone Number
601-634-0118
Fax Number
601-630-0302
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
(Mississippi)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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