Organization
PAYNE BEHAVIORAL MEDICINE
Active
Other names
Payne Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANETTA PAYNE PHD (FOUNDER/PRESIDENT)
(601) 506-8735
Entity
Organization
Contact information
Practice address
4005 N STATE ST STE N, JACKSON, MS 39206-5755
(601) 506-8735
(601) 767-2747
Mailing address
4005 N STATE ST STE N, JACKSON, MS 39206-5755
(601) 506-8735
(601) 767-2747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
48841
MS
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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