OrganizationActive
Behavioral Medicine Clinic,pa
NPI 1588846281 · Prescribing (Medical) Psychologist · Meridian, MS
Provider details
- NPI number
- 1588846281
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Terry Jordan, Owner
- License
- 14095 (MS)
Mailing address
5000 Hwy 39 N
Meridian, MS 39301-1021
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2010-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.