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