| NPI | 1720319775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERSEPHANIE SILVERTHORN Licensed Clinical Psychologist 985-661-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 868) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |