Organization
APPLIED PSYCHOLOGY CTR APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN MASSONG PH.D. (PRACTICE MANAGER)
(228) 872-8429
Entity
Organization
Contact information
Practice address
904 DESOTO ST, OCEAN SPRINGS, MS 39564-3737
(228) 872-8429
(228) 872-0226
Mailing address
904 DESOTO ST, OCEAN SPRINGS, MS 39564-3737
(228) 872-8429
(228) 872-0226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05905039
—
MS
Enumeration date
10/04/2006
Last updated
07/02/2013
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