Laura a Brodie PHD Clinical & Forensic Psychology Inc

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Legal business name

LAURA A BRODIE PHD CLINICAL & FORENSIC PSYCHOLOGY INC

Practice address

1822 15TH St
Gulfport, MS 39501-2104

Phone

(228) 678-1042

NPI assigned

Oct 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Brodie

Title

Owner

Phone

(951) 966-5652

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1003579483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 BEAUVOIR RD STE 360",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012104",
            "telephone_number": "228-678-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA A BRODIE PHD CLINICAL & FORENSIC PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "BRODIE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-966-5652"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Larosa Jr., M.D.
• Bradley Joseph Lasseigne, DO
• Helena Lasseter, RN
• Rachel Anderson Lasseter
• Greg Allan Lassiter, SFIDC
• Amanda Laura, NP-C
• Isabelle Janvier Laurin, WHNP-BC
• Cherokee Law
• Rebecca Wildes Law, MS,LPC
• Daniel Robert Lawrence, DO

• Forensic Psychologist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Forensic Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.