Dr. Courtney Bagge, Ph.D.
Psychologist in Jackson, MS. Individual provider (NPI-1).
NPI number1942525787
StatusActive
Last updated in NPPESJun 29, 2012
Details
- NPI
- 1942525787
- Entity type
- Individual (NPI-1)
- Name
- Dr. Courtney Bagge
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2010
- Last updated
- Jun 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-984-5855
Mailing address
2500 N State StJackson, MS 39216-4500
Phone 601-984-5855
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