| NPI | 1194179374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY COPELAND Member 504-780-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.000021) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |