Provider Demographics
NPI:1780709311
Name:MCCRANEY, JOANNA (PHD)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:
Last Name:MCCRANEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 WHISPERING PINES DR
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1860
Mailing Address - Country:US
Mailing Address - Phone:601-297-3060
Mailing Address - Fax:
Practice Address - Street 1:725 EAST COY SMITH HIGHWAY
Practice Address - Street 2:SEARCY HOSPITAL
Practice Address - City:MOUNT VERNON
Practice Address - State:AL
Practice Address - Zip Code:36560
Practice Address - Country:US
Practice Address - Phone:601-297-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS42-686103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical