Shine Pediatric Psychology Services Pllc
NPI #1982321964 in Meridian, Mississippi
Provider Information
- NPI Number
- 1982321964
- Entity Type
- Organization
- Organization Name
- Shine Pediatric Psychology Services Pllc
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Oct 20, 2022
- Last Updated
- Oct 20, 2022
Practice Location
- Address
- 2449 N PARK DR STE C
- City
- Meridian
- State
- Mississippi
- ZIP Code
- 39305-2669
- Phone
- (601) 282-5250
Authorized Official
- Name
- DR. MICHELLE BOUCHER-SNODGRASS, PH.D.
- Title
- LICENSED PSYCHOLOGIST/OWNER
- Phone
- (601) 282-5250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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