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233 Pecan Park Ave Suite C Alexandria LA 71303-3362 | |
| (318) 473-0035 | |
| (318) 443-0220 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 233 Pecan Park Ave, Alexandria, Louisiana |
| Authorized Official Name and Position | Mark Cullen (CEO) |
| Authorized Official Contact | 3377883330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 428 Crowley LA 70527-0428 Ph: (337) 785-8003 | 233 Pecan Park Ave Suite C Alexandria LA 71303-3362 Ph: (318) 473-0035 |
| NPI Number | 1326365586 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326365586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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