NPI | 1215214671 |
---|---|
Doing Business As | LIVE OAK CHILDREN'S CENTER |
Entity Type | Organization |
Authorized Contact | LACEY LEBLANC SEYMOUR Licensed Psychologist, Director 985-327-7256 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: LA 1175) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-065) |
235Z00000X Speech-Language Pathologist, (Licence: LA 7333) | |
225X00000X Occupational Therapist (Licence: LA OTT.200847) | |
221700000X Art Therapist | |
Enumeration Date | 2011-11-12 |
Last Update Date | 2016-03-22 |