Individual
WHITNEY STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
611 MAIN ST N, MENDENHALL, MS 39114-3322
(601) 382-2783
Mailing address
611 MAIN ST N, MENDENHALL, MS 39114-3322
(601) 382-2783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
601066
MS
103T00000X
Psychologist
PSY.0005119
CO
Other
Enumeration date
10/07/2019
Last updated
04/28/2021
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