NPI 1003579483

Laura a Brodie PHD Clinical & Forensic Psychology INC

Organisation Forensic Psychologist Gulfport, MS

Practice location

Address: 1822 15th St, Gulfport, MS 39501-2104
Phone: (228) 678-1042
Mailing address: 296 Beauvoir Rd STE 360, Biloxi, MS 39531-4051

Authorised official

Name: Laura Brodie
Title: Owner
Phone: (951) 966-5652

Registered specialties

Forensic Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TF0200X

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Registry record

NPI: 1003579483
Entity type: Organization
NPI issued: 21 Oct 2021
Record last updated: 10 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.