Patricia Marie Dubbert | Jackson, MS • PECOS Search

Patricia Marie Dubbert

Psychologist

Behavioral Health & Social Service Providers

1500 E Woodrow Wilson Ave, Va Medical Center Mental Health 11m, Jackson, MS 39216-5116

PECOS Enrollment

Based on the most recent information from CMS, provider Patricia Marie Dubbert does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1558381327
Provider Type
Individual
Full Name
Dubbert, Patricia Marie
Title
Dr.
Credential
PH.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/21/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1500 E Woodrow Wilson Ave, Va Medical Center Mental Health 11m, Jackson, MS 39216-5116

(601) 364-1395

Mailing Location

1500 E Woodrow Wilson Ave, Va Medical Center Mental Health 11m, Jackson, MS 39216-5116

(601) 364-1395

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License 24310 Mississippi