Broussard, James

Broussard, James is an individual health care provider with primary practice located at 1000 Highland Colony Pkwy Ste 5203 , Ridgeland MS 39157-2079. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Broussard, James can be contacted via phone (601) 809-5324.

Contact Information

Primary practice address
1000 Highland Colony Pkwy Ste 5203 Ridgeland MS 39157-2079
Phone: (601) 809-5324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 591036 Mississippi

Profile Details

NPI number 1447539176
LBN Legal business name Broussard, James
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated Dec 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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