Pernell, Gwendolyn
Pernell, Gwendolyn is an individual health care provider with primary practice located at 2504 Browning Road 520 , Greenwood MS 38930-6022. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pernell, Gwendolyn can be contacted via phone (662) 453-6211.Contact Information
Primary practice address
2504 Browning Road 520
Greenwood MS 38930-6022
Phone: (662) 453-6211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Mississippi |
Profile Details
| NPI number | 1700249208 |
|---|---|
| LBN Legal business name | Pernell, Gwendolyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2016 |
| Last updated | Apr 1st, 2016 - about 8 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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