Goysich, Mary Cecille
Goysich, Mary Cecille is an sole proprietor health care provider with primary practice located at 4579 S Eason Blvd , Tupelo MS 38801-6539. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Goysich, Mary Cecille can be contacted via phone (662) 377-3161.Contact Information
Primary practice address
4579 S Eason Blvd
Tupelo MS 38801-6539
Phone: (662) 377-3161
Fax: (662) 377-2993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 33538 | Mississippi |
Profile Details
| NPI number | 1508804626 |
|---|---|
| LBN Legal business name | Goysich, Mary Cecille |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Sep 29th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508804626 | NPPES |
| Mississippi | MEDICAID | 00117696 |
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