| Gulf Coast Neuropsychology, Llc | |
|
16195c Landon Rd Gulfport MS 39503-4121 | |
| (228) 385-7733 | |
| Not Available |
| Full Name | Gulf Coast Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 16195c Landon Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Debra Sue Weitzel (OWNER) |
| Authorized Official Contact | 2283857733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Neuropsychology, Llc 45 Hardy Court Ctr #113 Gulfport MS 39507-2501 Ph: (228) 385-7733 | Gulf Coast Neuropsychology, Llc 16195c Landon Rd Gulfport MS 39503-4121 Ph: (228) 385-7733 |
| NPI Number | 1194028555 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194028555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 45-725 (Mississippi) | Primary |
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