Organization
PSYCAMORE, LLC
Active
Other names
Psycamore Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE A HALL CMM (BUSINESS MANAGER)
(601) 939-5993
Entity
Organization
Contact information
Practice address
2540 FLOWOOD DR, FLOWOOD, MS 39232-9362
(601) 939-5993
(601) 939-5935
Mailing address
2540 FLOWOOD DR, FLOWOOD, MS 39232-9362
(601) 939-5993
(601) 939-5935
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DCS-PSYCAMORE-PHA/OP
MS
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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