Gulf Coast Neuropsychology, Llc | |
16195c Landon Rd Gulfport MS 39503-4121 | |
(228) 385-7733 | |
Not Available |
Full Name | Gulf Coast Neuropsychology, Llc |
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Speciality | Clinical Neuropsychologist |
Location | 16195c Landon Rd, Gulfport, Mississippi |
Authorized Official Name and Position | Debra Sue Weitzel (OWNER) |
Authorized Official Contact | 2283857733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulf Coast Neuropsychology, Llc 45 Hardy Court Ctr #113 Gulfport MS 39507-2501 Ph: (228) 385-7733 | Gulf Coast Neuropsychology, Llc 16195c Landon Rd Gulfport MS 39503-4121 Ph: (228) 385-7733 |
NPI Number | 1194028555 |
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Provider Enumeration Date | 12/07/2010 |
Last Update Date | 12/07/2010 |
Identifier | Type | State | Issuer |
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1194028555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 45-725 (Mississippi) | Primary |
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