Organization

Killebrew Psychological Services, Llc

Psychologist in Madison, MS(View on Map)

Legal Business Name

Killebrew Psychological Services, Llc

NPI Number

1073988051

NPI Type

Organization

Enumeration Date

12/02/2015

Specialties

(Taxonomies)

Code

103T00000X
251S00000X
302R00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Mississippi

License Number

54946

Contact
Information

Purpose

Mailing
Location

Address

133 BERRY LN
133 BERRY LN

City

Madison
Madison

State

MS
MS

Postal Code

39110-8616
39110-8616

Country

US
US

Telephone Number

(601) 750-6102
(601) 750-6102

Authorized Official

Name

Dr. Alyssa Killebrew

Title or Position

CLINICAL PSYCHOLOGIST

Telephone Number

(601) 750-6102

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

Data last updated by provider on 02/03/2022

Provider Address