NPI | 1023409224 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES ANDREW YARBOROUGH Psychologist 225-953-1903 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1161) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2015-02-09 |