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
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 HealthAdolescent and Children Mental Health

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