Individual
DANIEL LOCKE DEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
320 LESTER HALL, UNIVERSITY, MS 38677
(662) 915-3784
Mailing address
106 NASH CIR, OXFORD, MS 38655-7276
(918) 812-2988
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
581029
MS
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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