Able Psychology Services Llc | |
200 Lodge Dr Apt 412 Lafayette LA 70506-2855 | |
(833) 782-2253 | |
(318) 232-6932 |
Full Name | Able Psychology Services Llc |
---|---|
Speciality | Psychologist |
Location | 200 Lodge Dr Apt 412, Lafayette, Louisiana |
Authorized Official Name and Position | Carole Buckles (CO-OWNER PSYCHOLOGIST) |
Authorized Official Contact | 8337822253 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Able Psychology Services Llc 200 Lodge Dr Apt 411 Lafayette LA 70506-2855 Ph: (833) 782-2253 | Able Psychology Services Llc 200 Lodge Dr Apt 412 Lafayette LA 70506-2855 Ph: (833) 782-2253 |
NPI Number | 1932788254 |
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Provider Enumeration Date | 04/05/2021 |
Last Update Date | 05/18/2022 |
Certification Date | 05/18/2022 |
Medicare PECOS PAC ID | 2961803283 |
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Medicare Enrollment ID | O20210624001092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932788254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Carole Buckles |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1821409103 PECOS PAC ID: 7214286475 Enrollment ID: I20210712003311 |
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