| NPI | 1073712618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED FREY Partner 504-780-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 966) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2009-09-03 |