Southern Psychological and Behavioral Services, LLC

NPI #1164870408 in Valdosta, Georgia

Provider Information

NPI Number
1164870408
Entity Type
Organization
Organization Name
Southern Psychological and Behavioral Services, LLC
Primary Specialty
Psychologist
Enumeration Date
May 26, 2016
Last Updated
May 26, 2016

Practice Location

Address
202 W GORDON ST
Address 2
SUITE D
State
Georgia
ZIP Code
31601-4569
Phone
(229) 474-9800

Authorized Official

Name
DR. TWYLA LUCINDA MANCIL, PH. D.
Title
LICENSED PSYCHOLOGIST/OWNER
Phone
(352) 727-8679

Specialties & Taxonomy Codes

Specialty
Psychologist

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