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Organization

ANSEL PSYCHOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA L ANSEL PH.D. (CLINICAL PSYCHOLOGIST)
(205) 792-6917
Entity
Organization

Contact information

Practice address
1716 GOVERNMENT ST STE E, OCEAN SPRINGS, MS 39564-3801
(228) 200-1100
Mailing address
141 CLEAR SPRINGS CIR, OCEAN SPRINGS, MS 39564-5741
(205) 792-6917

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
53926
MS

Other

Enumeration date
06/02/2018
Last updated
06/02/2018
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