Organization
MIDSOUTH PSYCHOLOGICAL SERVICES, LLC
Active
Organization
MIDSOUTH PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCBRIDE PHD (OWNER)
(270) 839-0971
Entity
Organization
Contact information
Practice address
996 WILKINSON TRCE STE A8, BOWLING GREEN, KY 42103
(270) 839-0971
(270) 393-9835
Mailing address
996 WILKINSON TRCE STE A8, BOWLING GREEN, KY 42103-3408
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
09/05/2018
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