| NPI | 1639459399 |
|---|---|
| Doing Business As | CARISSA L BOKELBERG, PSY.D. |
| Entity Type | Organization |
| Authorized Contact | CARISSA L BOKELBERG Clinical Psychologist 504-377-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1048) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-03-21 |