Organization
DELTA AUTUMN CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE MAACK PH.D. (CEO/CO-OWNER)
(769) 610-8991
Entity
Organization
Contact information
Practice address
101 RICKY D BRITT SR BLVD, SUITE 1-B, OXFORD, MS 38655-9103
(662) 259-0868
Mailing address
101 RICKY D BRITT SR BLVD, SUITE 1-B, OXFORD, MS 38655-9103
(662) 259-0868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
06/17/2011
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