Organization
MISSISSIPPI STATE UNIVERSITY
Active
Parent organization
MISSISSIPPI STATE UNIVERSITY
Other names
MSU - Meridian Mental and Behavioral Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI STATE UNIVERSITY
Authorized official
KAY BOREN (MEDICAL BILLING SPECIALIST)
(601) 484-0207
Entity
Organization
Contact information
Practice address
2121 5TH ST FL 3, MERIDIAN, MS 39301-5108
(601) 484-0207
Mailing address
1000 HIGHWAY 19 N, MERIDIAN, MS 39307-5771
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
05/15/2026
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