NPI 1013515451

Gulf Coast Neurospa LLC

Organisation Psychiatry Physician Gulfport, MS

Practice location

Address: 8845 Lorraine Road, Gulfport, MS 39503
Phone: (228) 277-1771
Fax: (866) 740-0655

Authorised official

Name: Bryan Vyverberg
Title: Owner
Phone: (228) 277-1771

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Mississippi →

Registry record

NPI: 1013515451
Entity type: Organization
NPI issued: 16 Oct 2020
Record last updated: 25 Apr 2023

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.