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Contact Information

GULF SOUTH PSYCHIATRY, LLC
1924 CORPORATE SQUARE DR
SUITE D
SLIDELL, LA70458-3164
 Phone: 985-781-0548
 Fax: 985-781-4319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for GULF SOUTH PSYCHIATRY LLC · (Female)

NPI # 1568768679
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2011
Last updated 02/07/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # MD10912R
  • LA Other MD10912R STATE LICENSE10912R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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