IndividualActive
Charles Small, PH.D.
NPI 1871848952 · Clinical Psychologist · Greenwood, MS
Provider details
- NPI number
- 1871848952
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 8110 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2504 Browning Road 520
Greenwood, MS 38930-6022
Phone: (662) 453-6211
Approximate (ZIP-level) locationGet directions
Mailing address
2504 Browning Road 520
Greenwood, MS 38930-6022
Registry dates
- Enumerated
- 2012-07-16
- Last updated
- 2012-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.