Erin Dehon, PH.D.

Individual provider Active NPI Clinical Psychologist · Jackson, MS

NPI 1275966749 · NPPES record last updated Jan 24, 2014

Key facts

NPI
1275966749
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
53920 (MS)
Practice address
2500 N State St
Dept of Emergency Medicine
Jackson, MS 39216-4500
Phone
(601) 984-5571
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Interoperability endpoints

  • Direct secure messaging: edehon26862@ummc.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 53920 MS Yes

Addresses

Primary practice location

2500 N State St
Dept of Emergency Medicine
Jackson, MS 39216-4500

Mailing address

PO Box 11407
Dept 2130
Birmingham, AL 35246-2130
Phone (601) 925-6805

Other identifiers

IdentifierTypeStateIssuer
04138707MedicaidMS

Other providers in Jackson, MS

All providers in Jackson, MS · Clinical Psychologist in Mississippi

Sources for this page

Verify at the official NPI Registry.