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MS. JUDITH ROSEMARY O'JILE PHD

Clinical Neuropsychologist

Jackson, Mississippi

Provider NPI: 1770521718

Provider Information:
MS. JUDITH ROSEMARY O'JILE PHD
Gender: F
Not Sole Proprietor

Practice Location:
2500 N STATE ST  JACKSON, MS 39216 US
Tel: 601-984-5888  Fax: 601-984-5842

Business Mailing Address:
2500 N STATE ST  JACKSON, MS 39216 US
Tel: 601-984-5888  Fax: 601-984-5842

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MS36-641

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARE620006153MS01
00120609MS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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