| NPI | 1033578018 |
|---|---|
| Doing Business As | MAGNOLIA BEHAVIORAL PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | EVAN HENRY DART Licensed Psychologist 985-373-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 55978) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-09-29 |