| NPI | 1235284936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSLYN MASON MCCOY Licensed Clinical Psychologist 337-962-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1019) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |