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Organization

UNIVERSITY OF SOUTHERN MISSISSIPPI

Active
Other names
Center for Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTY DISABATINO MCRANEY PHD, PSYCHOLOGIST (DIRECTOR)
(601) 266-4588
Entity
Organization

Contact information

Practice address
129 GOLDEN EAGLE AVENUE RM 201, HATTIESBURG, MS 39406-0001
(601) 266-4588
(601) 266-6928
Mailing address
118 COLLEGE DRIVE PO 5190, HATTIESBURG, MS 39406-0001
(601) 266-4588
(601) 266-6928

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TS0200X
School Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
07/15/2022
Last updated
07/15/2022
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