Psychology Clinic Of Lake Charles

NPI 1053417899 - Counselor - 101YM0800X

NPI Details
NPI 1053417899
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICIA D. PATRICIA
Position OWNER
Phone (337) 474-2682
Fax (337) 474-4601
Practice Location
2000 SOUTHWOOD DR
LAKE CHARLES LA, 70605-4138, US
Phone (337) 474-2682
Fax (337) 474-4601
Business Location
2000 SOUTHWOOD DR
LAKE CHARLES LA, 70605-4138, US
Phone (337) 474-2682
Fax (337) 474-4601
Toxanomy
Taxonomy Code 101YM0800X
License State Louisiana
License Number 327
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According to our database, Psychology Clinic Of Lake Charles NPI is 1053417899, taxonomy code is 101YM0800X and license number is 327, license state is located at Louisiana. Psychology Clinic Of Lake Charles physically located at 2000 Southwood Dr, Lake Charles LA, 70605-4138. NPI Number 1033115704 has the healthcare provider type.

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1053417899 NPI number is provided on an as is basis without warranty of any kind. 1053417899 is maintained by the National Plan & Provider Enumeration System. The contents of Psychology Clinic Of Lake Charles are for informational purposes only.