Individual
DR. NANETTA S PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4005 N STATE ST, SUITE N, JACKSON, MS 39206-5755
(601) 506-8735
(601) 767-2747
Mailing address
4005 N STATE ST, SUITE N, JACKSON, MS 39206-5755
(601) 506-8735
(601) 767-2747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
48841
MS
Other
Enumeration date
06/30/2010
Last updated
07/09/2013
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