| Organization Name: | UNIVERSITY OF MISSISSIPPI |
| NPI Number: | 1962618223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT A GUSTAFSON (DIRECTOR) |
| Mailing Address: | G382 Kinard Hall University |
| State: | MS US |
| Postal Code: | 38677 |
| Phone Number: | 6629157385 |
| Fax Number: | 6629151396 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |