| NPI | 1417376047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARIE BARRINER Manager/Billing 225-769-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA bk3590002) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-06-16 |