Whalio Doctors

NPI 1023169166

Kathryn J. Bush, PHD

Practitioner Psychologist Gulfport, MS

Practice location

Address
1097 Acadian Dr, Gulfport, MS 39507-3545
Phone
(228) 868-6707
Fax
(228) 896-0811
Mailing address
PO Box 7675, Gulfport, MS 39506-7675

Registered specialties

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 36-605 (MS)

Registry record

NPI
1023169166
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Jan 2007
Record last updated
8 Jul 2007

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.