IndividualActive
Diana Whalen
NPI 1184063505 · Clinical Child & Adolescent Psychologist · Jackson, MS
Provider details
- NPI number
- 1184063505
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (412) 977-3069
Approximate (ZIP-level) locationGet directions
Mailing address
761 Rice Rd
Ridgeland, MS 39157-1085
Registry dates
- Enumerated
- 2013-06-19
- Last updated
- 2013-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.