| Psyclinic, Llc | |
|
2540 Flowood Dr Suite A Flowood MS 39232-9362 | |
| (601) 939-5993 | |
| (601) 939-5935 |
| Full Name | Psyclinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2540 Flowood Dr, Flowood, Mississippi |
| Authorized Official Name and Position | Sudhaker Madakasira (MD) |
| Authorized Official Contact | 6019395993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyclinic, Llc 2540 Flowood Dr Suite A Flowood MS 39232-9362 Ph: (601) 939-5993 | Psyclinic, Llc 2540 Flowood Dr Suite A Flowood MS 39232-9362 Ph: (601) 939-5993 |
| NPI Number | 1063818508 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063818508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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