LAURA A BRODIE PHD CLINICAL & FORENSIC PSYCHOLOGY INC NPI 1003579483

NPI Information

NPI: 1003579483
Provider Name: LAURA A BRODIE PHD CLINICAL & FORENSIC PSYCHOLOGY INC
Classification: Psychologist - 103TF0200X
Entity Type: Organization

Specialization: Forensic

Address:
1822 15TH ST
GULFPORT, MS
ZIP 39501
Phone: (228) 678-1042
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LAURA A BRODIE PHD CLINICAL & FORENSIC PSYCHOLOGY INC is a forensic psychologist in Gulfport, MS. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. LAURA A BRODIE PHD CLINICAL & FORENSIC PSYCHOLOGY INC NPI is 1003579483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1822 15TH ST
GULFPORT, MS
ZIP 39501-104
Phone: (228) 678-1042

The provider's authorized official is Laura Brodie .
The authorized official title is Owner and has the following contact phone number (951) 966-5652.

The enumeration date for this NPI number is 10/21/2021 and was last updated on 12/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TF0200X	Psychologist	Forensic			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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