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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LAURA ANNE BRODIE, PH.D.

Active Sole Proprietor

DR. LAURA ANNE BRODIE, PH.D. is a Clinical Psychologist healthcare provider located in KEESLER AFB, Mississippi. NPI 1063611341 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · KEESLER AFB, MS

Registration Details

NPI Number
1063611341
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2007 (19.04055626149 yrs)
Last Updated
Aug 18, 2021
Licenses
PSY14511 (CA)
14511 (CA)
Sole Proprietor
Yes

Practice Information

Address
500 FISHER ST
KEESLER AFB, MS, 395342502
Browse MS providers · Browse ZIP 39534
Phone
2283655701
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.