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Organization

UNIVERSITY OF MISSISSIPPI

Active
Other names
Psychological Services Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT A GUSTAFSON PH.D. (DIRECTOR)
(662) 915-5272
Entity
Organization

Contact information

Practice address
G382 KINARD HALL, UNIVERSITY, MS 38677
(662) 915-7385
(662) 915-1396
Mailing address
G382 KINARD HALL, UNIVERSITY, MS 38677
(662) 915-7385
(662) 915-1396

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/15/2007
Last updated
07/29/2010
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