Individual
DR. JAY JUSTIN MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2597
KS
Other
Enumeration date
07/01/2018
Last updated
06/10/2020
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