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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MS | 36-641 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00120609 | MS | 05 | |
RAILROAD MEDICARE | 620006153 | MS | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin