NPI | 1750928693 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE MYRICK Billing Specialist 504-833-6730 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2019-12-10 |
Last Update Date | 2019-12-10 |