Individual
DR. DANNELL SPEIGHTS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
32 MILLBRANCH RD STE 40, HATTIESBURG, MS 39402-1673
(601) 255-5264
Mailing address
32 MILLBRANCH RD STE 40, HATTIESBURG, MS 39402-1673
(601) 255-5264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
160021
MS
103T00000X
Psychologist
47 821
MS
103TM1800X
Intellectual & Developmental Disabilities Psychologist
47 821
MS
103TS0200X
School Psychologist
Primary
47 821
MS
Other
Enumeration date
06/11/2008
Last updated
03/10/2025
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