| NPI | 1881027175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESA ROEBUCK SPENCER Member 504-780-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: LA 1246) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2014-05-19 |