Individual
JENNIFER MARIE LADNER-GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
417 W CANAL ST, PICAYUNE, MS 39466-3951
(601) 749-9477
(601) 749-0605
Mailing address
417 W CANAL ST, PICAYUNE, MS 39466-3951
(601) 749-9477
(601) 749-0605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
611084
MS
Other
Enumeration date
07/09/2021
Last updated
03/27/2026
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