| NPI | 1518267889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE STREET Clinical Psychologist/President 318-424-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 342) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |