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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KILLEBREW PSYCHOLOGICAL SERVICES, LLC

Deactivated Organization

KILLEBREW PSYCHOLOGICAL SERVICES, LLC is a Psychologist organization located in RIDGELAND, Mississippi. NPI 1073988051 is deactivated in the NPPES registry. Verify at CMS.

Psychologist · RIDGELAND, MS

This NPI has been deactivated. The record was deactivated on December 6, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1073988051
Provider Type
Organization
NPI Issued
Dec 2, 2015 (6.0109589041096 yrs)
Last Updated
Nov 19, 2024
Deactivated
Dec 6, 2021
Licenses
54946 (MS)
54946 (MS)
54946 (MS)

Practice Information

Address
241 SUNNYBROOK RD
RIDGELAND, MS, 391572206
Browse MS providers · Browse ZIP 39157
Phone
7692319414
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.