| NPI | 1033667563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TRUMAN FANNING Clinical Neuropsychologist 504-421-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA Psychology 468) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |