Mississippi State University
NPI #1588491823 in Meridian, Mississippi
Provider Information
- NPI Number
- 1588491823
- Entity Type
- Organization
- Organization Name
- Mississippi State University
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MISSISSIPPI STATE UNIVERSITY
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Sep 19, 2024
- Last Updated
- Dec 5, 2025
Practice Location
- Address
- 406 22ND AVE FL 3
- City
- Meridian
- State
- Mississippi
- ZIP Code
- 39301-5851
- Phone
- (601) 484-0207
Authorized Official
- Name
- KAY BOREN
- Title
- MEDICAL BILLING SPECIALIST
- Phone
- (601) 484-0207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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