Individual
DR. THOMAS J PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL, STE ME-102, JACKSON, MS 39213-7681
(601) 615-1180
(601) 815-5986
Mailing address
350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL, STE ME-102, JACKSON, MS 39213-7681
(601) 615-1180
(601) 815-5986
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
28-386
MS
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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