Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Live Oak Psychological Associtaes

Organization Clinical Psychologist · NPI 1750577805

Live Oak Psychological Associtaes is a Clinical Psychologist in Jackson, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1151 N State St Ste 212
Jackson, MS 39202-2407
Phone: (601) 352-7398
Fax: (601) 352-0442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1750577805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Dieth — Office Manager · (601) 352-7398
NPI enumeratedSeptember 22, 2007
Last updated in NPPESSeptember 22, 2007
Mailing address1151 N State St, Ste 212, Jackson, MS 39202-2407

Other providers in Jackson