Organization
FORENSIC PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA L GUGLIANO PSY.D. (OWNER/MANAGER)
(602) 740-7096
Entity
Organization
Contact information
Practice address
665 HIGHWAY 51, RIDGELAND, MS 39157-2136
(601) 707-5023
Mailing address
1490 W GOVERNMENT ST, SUITE 7, BRANDON, MS 39042-3024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
50875
MS
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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