Most Relevant Information
Provider Data
| NPI Number: | 1003228719 |
| Provider Name: | ELIZABETH NOSEN PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 1896 |
Most Important Dates
| Enumeration Date: | 05/29/2014 |
| Last Updated: | 05/29/2014 |
Provider Practice Location
1500 E WOODROW WILSON AVE
JACKSON
MS
392165116
Practice Location Phone/Fax
| Phone: | 6013624471 |
| Fax: |
Provider Mailing Location
1500 E WOODROW WILSON AVE
JACKSON
MS
392165116
Provider Mailing Phone/Fax
| Phone: | 6013624471 |
| Fax: |