Individual
NELSON R CAUTHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD CLINICAL PSYCHOL
Contact information
Practice address
110 JONES LANE, SUITE A, FLOWOOD, MS 39232
(601) 932-2493
(601) 939-2243
Mailing address
110 JONES LANE, SUITE A, FLOWOOD, MS 39232
(601) 932-2493
(601) 939-2243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
219
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017561
—
MS
Enumeration date
04/25/2007
Last updated
10/20/2010
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