Organization
KILLEBREW PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA E. KILLEBREW PH.D. (CLINICAL PSYCHOLOGIST)
(601) 750-6102
Entity
Organization
Contact information
Practice address
241 SUNNYBROOK RD, RIDGELAND, MS 39157-2206
(769) 231-9414
Mailing address
133 BERRY LN, MADISON, MS 39110-8616
(601) 750-6102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
54946
MS
251S00000X
Community/Behavioral Health Agency
54946
MS
302R00000X
Health Maintenance Organization
54946
MS
Other
Enumeration date
12/02/2015
Last updated
11/19/2024
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