Individual
MS. NADIA NICOLE BETHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2363 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
(662) 334-1253
(662) 741-2700
Mailing address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-8800
(662) 741-2700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
59-1030
MS
Other
Enumeration date
08/13/2018
Last updated
09/26/2019
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