JERALD W BAMBURG

PINEVILLE, LA
NPI1598926644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: LA  951)
Additional Taxonomies103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: LA  951)
Enumeration Date2008-06-20
Last Update Date2010-01-11
Business Address
Dr. JERALD W BAMBURG Ph.D.
106 N BEND DR
PINEVILLE, LA 71360-4677
Phone number: 318-442-4498
Mailing Address
Dr. JERALD W BAMBURG Ph.D.
106 N BEND DR
PINEVILLE, LA 71360-4677
Phone number: 318-442-4498