Organization
BROOKHAVEN PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN K HEARNE PSY. D. (OWNER)
(601) 833-8413
Entity
Organization
Contact information
Practice address
1001 N JACKSON ST, BROOKHAVEN, MS 39601-2465
(601) 833-8413
(601) 833-8802
Mailing address
PO BOX 183, BROOKHAVEN, MS 39602-0183
(601) 833-8413
(601) 833-8802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
247
MS
Other
Enumeration date
05/22/2007
Last updated
07/23/2007
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