Alyssa Ellis Killebrew, PH.D.

Clinical Psychologist · Ridgeland, MS

Individual Active NPI

NPI number 1306130125

Practice location

241 Sunnybrook Rd
Ridgeland, MS 39157-2206
Phone
(601) 624-5912

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NPI record

NPI
1306130125
Entity type
Individual (Type 1)
Enumeration date
June 9, 2011
Last updated
December 20, 2024
Certified
December 17, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 54946 MS

Mailing address

210 W Jackson St
Ridgeland, MS 39157-2312
Phone
(601) 750-6102
Fax
(601) 707-7291

Other practice locations (2)

  • 133 Berry Ln, Madison, MS 39110-8616 · (601) 750-6102
  • 210 W Jackson St, Ridgeland, MS 39157-2312 · (601) 750-6102

About Dr. Killebrew

Alyssa Ellis Killebrew, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 241 Sunnybrook Rd, Ridgeland, MS 39157-2206. The NPI number 1306130125 was assigned on June 9, 2011 and the record was last updated on December 20, 2024.

Dr. Killebrew lists a license in the registry: #54946 (MS) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alyssa Ellis Killebrew, PH.D.?

The NPI number is 1306130125.

What is the phone number of Dr. Killebrew?

The phone number listed for the practice location is (601) 624-5912.

Where is Dr. Killebrew located?

241 Sunnybrook Rd, Ridgeland, MS 39157-2206.

What is the taxonomy code for Dr. Killebrew?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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