Organization
IRBY PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH IRBY PHD (OWNER)
(662) 228-0130
Entity
Organization
Contact information
Practice address
5960 GETWELL RD STE 212D, SOUTHAVEN, MS 38672-7320
(662) 228-0130
(678) 868-2843
Mailing address
5960 GETWELL RD STE 212D, SOUTHAVEN, MS 38672-7320
(662) 228-0130
(678) 868-2843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05431201
—
MS
05
—
Q017484
—
TN
Enumeration date
02/03/2020
Last updated
05/21/2024
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