University Psychiatric Associates, Llp
Legal Business Name
University Psychiatric Associates, Llp
NPI Number
1659328151
NPI Type
Organization
Enumeration Date
05/28/2006
Specialties
(Taxonomies)Name
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