Organization
UNIVERSITY PSYCHIATRIC ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRAYSON NORQUIST M.D. (MANAGING MEMBER)
(601) 984-5815
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5808
(601) 815-4710
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5808
(601) 815-4710
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013801
—
MS
Enumeration date
05/28/2006
Last updated
09/11/2025
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