Organization
SCOTT WILLOUGHBY, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT WILLOUGHBY PHD (MEMBER)
(601) 466-1970
Entity
Organization
Contact information
Practice address
1 COMMERCE DR, SUITE 205, HATTIESBURG, MS 39402-1499
(601) 466-1970
Mailing address
PO BOX 16954, HATTIESBURG, MS 39404-6954
(601) 466-1970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
41-003
MS
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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