| NPI | 1003834706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BUILLARD CHRISTIE Owner 337-981-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 965) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 03172) |
| 225X00000X Occupational Therapist (Licence: LA OTT.Z10814) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 4559) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |