Individual
DR. DARREL WAYNE LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6911 PARKWOOD DR, OLIVE BRANCH, MS 38654-2111
(662) 893-7135
(662) 893-7078
Mailing address
6911 PARKWOOD DR, OLIVE BRANCH, MS 38654-2111
(662) 893-7135
(662) 893-7078
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
297
MS
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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