Organization
JACKSON PSYCHOLOGICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE F DEES PH.D. (TREASURER)
(601) 981-1008
Entity
Organization
Contact information
Practice address
1818 CRANE RIDGE DR, SUITE 101, JACKSON, MS 39216-4912
(601) 981-1008
Mailing address
1818 CRANE RIDGE DR, SUITE 101, JACKSON, MS 39216-4912
(601) 981-1008
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
175
MS
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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