Organization
GERALYN DATZ PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALYN DATZ PHD (OWNER)
(601) 434-9402
Entity
Organization
Contact information
Practice address
502 COURT ST, HATTIESBURG, MS 39401-3944
(601) 434-9402
Mailing address
502 COURT ST, HATTIESBURG, MS 39401-3944
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
02/07/2011
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