Individual
WILLIAM C LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
969 LAKELAND DR, ST THOMAS HALL, JACKSON, MS 39216-4606
(601) 200-3110
(601) 200-3109
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-3110
(601) 200-3109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31466
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01505748
—
MS
Enumeration date
09/28/2006
Last updated
04/30/2008
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