Individual
DR. GUSTAVE FRANK SISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
400 VETERANS AVE, (116B), BILOXI, MS 39531-2410
(228) 523-4762
(228) 523-4768
Mailing address
730 PARKWOOD DR, LONG BEACH, MS 39560-3850
(228) 547-0655
(228) 523-4754
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26 353
MS
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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