Search › Mississippi › 103TH0004X
Geralyn Datz, PHD
NPI 1972616076 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1 Commerce Dr
Ste 205
Hattiesburg, MS 39402 - Phone
- (601) 255-1618
- Fax
- (601) 255-1619
- Organisation at this address
- Mindful Solution, Llc
Scott Willoughby, Phd, Llc
Southern Behavioral Medicine Associates PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103TH0004X
103TH0004X
- Also registered as
- 103TC0700X
103TC0700X
103TH0004X - Licence states on file
- MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi