Organization
NEURO BEHAVIORAL TREATMENT SYSTEMS, LLC
Active
Other names
TCLC MS Behavioral Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY P RAY PHD (PSYCHOLOGIST)
(601) 899-5900
Entity
Organization
Contact information
Practice address
357 TOWNE CENTER BLVD, SUITE 400, RIDGELAND, MS 39157-4870
(601) 899-5900
Mailing address
357 TOWNE CENTER BLVD, SUITE 400, RIDGELAND, MS 39157-4870
(601) 899-5900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119527
—
MS
01
—
36618
PSYCHOLOGIST
MS
Enumeration date
12/05/2007
Last updated
12/05/2007
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