Individual
DR. LAURA ANNE BRODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 FISHER ST, KEESLER AFB, MS 39534-2502
(228) 365-5701
Mailing address
500 FISHER ST, KEESLER AFB, MS 39534-2554
(228) 376-5701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
14511
CA
103TC0700X
Clinical Psychologist
Primary
PSY14511
CA
Other
Enumeration date
07/16/2007
Last updated
08/18/2021
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