| NPI | 1013047976 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANITA STERLING PETTIS Patient Account Representative 504-581-3933  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 873)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 444)  | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 08889R)  | |
| Enumeration Date | 2007-03-07 | 
| Last Update Date | 2025-09-11 |