| NPI | 1073886396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D. DAVIS Owner 225-216-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| 103TH0004X Psychologist, Health | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |