Individual
DR. MOLLIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2525 LAKEWARD DR STE 110, JACKSON, MS 39216-4827
(601) 981-8873
Mailing address
2525 LAKEWARD DR STE 110, JACKSON, MS 39216-4827
(601) 981-8873
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
305
MS
Other
Enumeration date
05/08/2007
Last updated
12/29/2025
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