Region 8 Mh/mr Commission
NPI #1306178694 in Brandon, Mississippi
Provider Information
- NPI Number
- 1306178694
- Entity Type
- Organization
- Organization Name
- Region 8 Mh/mr Commission
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Enumeration Date
- Feb 11, 2010
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 613 MARQUETTE ROAD
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042
- Phone
- (601) 824-0342
Authorized Official
- Name
- DAVE VAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 824-0342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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