Individual
JENNIFER COOLEY TANNEHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
32 MILLBRANCH RD STE 20, HATTIESBURG, MS 39402-1673
(601) 255-5264
(866) 625-0559
Mailing address
32 MILLBRANCH RD STE 20, HATTIESBURG, MS 39402-1673
(601) 255-5264
(866) 625-0559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
621141
MS
103TS0200X
School Psychologist
265845
MS
Other
Enumeration date
06/05/2020
Last updated
08/25/2022
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