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Pmt Clinic
Prescribing (Medical) Psychologist in Jackson, Mississippi
NPI 1629378971

Pmt Clinic is a Prescribing (Medical) Psychologist based in Jackson, MS and is specialized in Prescribing (Medical). Pmt Clinic practices in Jackson, MS. The NPI Number for Pmt Clinic is 1629378971 and holds a License No. 15999 (Mississippi).

The current practice location address for Pmt Clinic is 1855 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-366-4696 and via fax at 601-366-6574.

Location: 1855 Lakeland Dr, Jackson, MS, 39216-4913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629378971
Provider Name
Pmt Clinic
Credential
Provider Entity Type
Organization
Address
1855 Lakeland Dr, Jackson, MS, 39216-4913
Phone Number
601-366-4696
Fax Number
601-366-6574
Provider Enumeration Date
11/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1855 Lakeland Dr
City
Jackson
State
Mississippi
Zip
39216-4913
Phone Number
601-366-4696
Fax Number
601-366-6574
person
Provider Business Mailing Address Details
Address
1855 Lakeland Dr
City
Jackson
State
Mississippi
Zip
39216-4913
Phone Number
601-366-4696
Fax Number
601-366-6574
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
15999 (Mississippi)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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Prescribing (Medical) Psychologist
1855 Lakeland Dr,
JACKSON, MS
39216-4913
601-366-4696
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