NPI | 1932475266 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA B DETERS Owner/Clinical Psychologist 985-662-5520 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1066) |
Enumeration Date | 2012-03-30 |
Last Update Date | 2012-06-29 |