| 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 |