Timberlake Psychology Group Inc

NPI 1215086491 - Psychologist - 103TC0700X

NPI Details
NPI 1215086491
Enumeration Date 01/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CAROL ANN CAROL
Position PSYCHOLOGIST
Phone (985) 624-5466
Fax (985) 624-9839
Practice Location
301 GIROD STREET
MANDEVILLE LA, 70448, US
Phone (985) 624-5466
Fax (985) 624-9839
Business Location
PO BOX 975
MANDEVILLE LA, 70470-0975, US
Phone (985) 624-5466
Fax (985) 624-9839
Toxanomy
Taxonomy Code 103TC0700X
License State Louisiana
License Number 620
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According to our database, Timberlake Psychology Group Inc NPI is 1215086491, taxonomy code is 103TC0700X and license number is 620, license state is located at Louisiana. Timberlake Psychology Group Inc physically located at 301 Girod Street, Mandeville LA, 70448. NPI Number 1033115704 has the healthcare provider type.

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1215086491 NPI number is provided on an as is basis without warranty of any kind. 1215086491 is maintained by the National Plan & Provider Enumeration System. The contents of Timberlake Psychology Group Inc are for informational purposes only.