| NPI | 1114061512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS MARLIN VINCENT CEO 225-769-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: LA MP381) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA MP381) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA MP381) | |
| 103T00000X Psychologist (Licence: LA MP381) | |
| 103TF0000X Psychologist, Family (Licence: LA MP381) | |
| 103TF0200X Psychologist, Forensic (Licence: LA MP381) | |
| 103TH0100X Psychologist, Health Service (Licence: LA MP381) | |
| 103TS0200X Psychologist, School (Licence: LA MP381) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-08-22 |