| NPI | 1639612948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO JOSEPH BURKE Medical Psychologist 504-232-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1375) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC004513) |
| 101YP2500X Counselor, Professional (Licence: PA PC004513) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 1375) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP304056) | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |