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NPI Code Detail

MEDICARE: NEELIMA GUTTI DUNCAN PH.D.

MEDICARE: NEELIMA GUTTI DUNCAN PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1 -11-9207MS
2103T00000XPsychologist621108MS

General Provider Information

NPI Number : 1942571864
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEELIMA GUTTI DUNCAN PH.D.
Provider Business Mailing Address
First Line : 402B LEGACY PARK STE B
Second Line :
City : RIDGELAND
State : MS
Zip : 39157-4315
Country : US
Telephone Number : 769-233-7154
Fax Number :
Provider Business Practice Location Address
First Line : 402B LEGACY PARK
Second Line :
City : RIDGELAND
State : MS
Zip : 39157-4315
Country : US
Telephone Number : 769-233-7154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2012
Last Update Date : 01/24/2022

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