Lynwood Clinton Wheeler
Counseling Psychologist
102 Medical Park
Hattiesburg
, Mississippi 39401
Lynwood Clinton Wheeler
Counseling Psychologist
102 Medical Park
Hattiesburg
, Mississippi 39401
(601) 579-5240
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Lynwood Clinton Wheeler
- 415 South 28th Avenue
- Hattiesburg, MS
- Zip : 39401
- Fax : (601) 579-5240
- Phone : (601) 579-5463
Second Address
- Lynwood Clinton Wheeler
- 102 Medical Park
- Hattiesburg, MS
- Zip : 39401
- Fax : (601) 545-1740
- Phone : (601) 261-5159
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 31468 | MS |
National Provider Identifier
| NPI | 1093745770 |
|---|---|
| Provider Name | Lynwood Clinton Wheeler |
| First Address | Hattiesburg, MS 39401 |
| Second Address | Hattiesburg, MS 39401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 22/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1821000 | UNITED HEALTHCARE (01) | MS |
| R55447 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.