NPI 1194028555

Gulf Coast Neuropsychology, LLC

Organisation Clinical Neuropsychologist Gulfport, MS

Practice location

Address: 16195c Landon Rd, Gulfport, MS 39503-4121
Phone: (228) 385-7733
Mailing address: 45 Hardy Court Ctr #113, Gulfport, MS 39507-2501

Authorised official

Name: Debra Sue Weitzel
Title: Owner
Phone: (228) 385-7733

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 45-725 (MS)

Other Clinical Neuropsychologist providers in Mississippi →

Registry record

NPI: 1194028555
Entity type: Organization
NPI issued: 7 Dec 2010
Record last updated: 7 Dec 2010

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.