Individual
DR. GERALD STEVE BARRILLEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 863-1132
(228) 865-1700
Mailing address
10140 RIDGEWOOD LN, BILOXI, MS 39532-8310
(228) 669-3030
(888) 368-9015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35-570
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
07/13/2006
Last updated
07/21/2022
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