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Organization

GULF COAST NEUROPSYCHOLOGY AND NEURO-REHABILITATION

Active
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Organization

GULF COAST NEUROPSYCHOLOGY AND NEURO-REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHA FARES PSYD (CLINICAL NEUROPSYCHOLOGIST)
(228) 465-2524
Entity
Organization

Contact information

Practice address
1746 PASS RD, BILOXI, MS 39531-3330
(228) 465-2524
(228) 248-0020
Mailing address
1746 PASS RD, BILOXI, MS 39531-3330
(228) 465-2524
(228) 248-0020

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TA0700X
Adult Development & Aging Psychologist
103TE1100X
Exercise & Sports Psychologist
103TF0200X
Forensic Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist

Other

Enumeration date
08/08/2022
Last updated
04/27/2026
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