Individual
DR. JOHN STOUDENMIRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4211 HOSPITAL ST STE 208A, PASCAGOULA, MS 39581-5311
(228) 769-2311
(228) 762-1240
Mailing address
4211 HOSPITAL ST STE 208A, PASCAGOULA, MS 39581-5311
(228) 769-2311
(228) 762-1240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
61
MS
Other
Enumeration date
08/20/2006
Last updated
08/12/2013
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