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Individual

LOUIS MASUR III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 504-4382
(662) 680-6416
Mailing address
175 BETHANY RD, BALDWYN, MS 38824-7534

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20-227
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07252854
MS
Enumeration date
09/13/2006
Last updated
01/30/2017
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