Individual
LYNWOOD CLINTON WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
102 MEDICAL PARK, HATTIESBURG, MS 39401
(601) 261-5159
(601) 545-1740
Mailing address
415 SOUTH 28TH AVENUE, HATTIESBURG, MS 39401
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31468
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821000
UNITED HEALTHCARE
MS
Enumeration date
07/05/2006
Last updated
07/29/2025
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