Individual
JOANNE PRINDEL CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
904 DESOTO ST, OCEAN SPRINGS, MS 39564-3737
(228) 872-8429
(228) 872-0226
Mailing address
2472 PASS RD, BILOXI, MS 39531-2838
(228) 388-9303
(228) 388-9306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
19-220
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110022
—
MS
01
—
30136
NATIONAL REGISTER
MS
Enumeration date
01/17/2007
Last updated
07/09/2007
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