| Laura A Brodie Phd Clinical & Forensic Psychology Inc | |
|
1822 15th St Gulfport MS 39501-2104 | |
| (228) 678-1042 | |
| Not Available |
| Full Name | Laura A Brodie Phd Clinical & Forensic Psychology Inc |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 1822 15th St, Gulfport, Mississippi |
| Authorized Official Name and Position | Laura Brodie (OWNER) |
| Authorized Official Contact | 9519665652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura A Brodie Phd Clinical & Forensic Psychology Inc 296 Beauvoir Rd Ste 360 Biloxi MS 39531-4051 Ph: () - | Laura A Brodie Phd Clinical & Forensic Psychology Inc 1822 15th St Gulfport MS 39501-2104 Ph: (228) 678-1042 |
| NPI Number | 1003579483 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003579483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Primary |
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