| NPI | 1023476892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LUCILE FREEMAN Clinical Psychologist 337-233-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 965) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |