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MISSISSIPPI BOARD OF PSYCHOLOGY. O. Box 20 Jackson, MS 39205 admin ms bop.ms.gov (601) 5762577 www.psychologyboard.ms.govName Change FormPrevious Name: New Name: Any licensee whose name has changed
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A licensee whose name refers to an individual or company authorized to carry out a specific activity or business within a particular jurisdiction.
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Any individual or company holding a license and conducting business activities that fall under regulatory oversight is required to file their licensee's name.
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Information such as the licensee's full legal name, contact information, license number, type of license, and any additional information required by regulatory authorities must be reported on a licensee's name.
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