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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