| NPI | 1134418502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CHRISTOPHER RACHAL President 985-859-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: LA 895) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.0014) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |