| NPI | 1013047976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANITA STERLING PETTIS Patient Account Representative 504-581-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 444) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 873) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 08889R) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |