Organization

University Psychiatric Associates, Llp

Legal Business Name

University Psychiatric Associates, Llp

NPI Number

1659328151

NPI Type

Organization

Enumeration Date

05/28/2006

Specialties

(Taxonomies)

Code

2084P0804X
103G00000X
1041C0700X
2084N0400X
2084P0800X
103T00000X

Primary Taxonomy

No
No
No
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

2500 N STATE ST
2500 N STATE ST

City

Jackson
Jackson

State

MS
MS

Postal Code

39216-4500
39216-4500

Country

US
US

Telephone Number

(601) 984-5808
(601) 984-5808

Authorized Official

Name

Dr. Grayson Norquist

Title or Position

MANAGING MEMBER

Telephone Number

(601) 984-5815

Identifiers

Identifier

09013801

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address