| Ashley Mccoy | |
|
124 Clyde Day Rd Deridder LA 70634-5876 | |
| (530) 368-3211 | |
| Not Available |
| Full Name | Ashley Mccoy |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 124 Clyde Day Rd, Deridder, Louisiana |
| Authorized Official Name and Position | Ashley E Mccoy (THERAPIST) |
| Authorized Official Contact | 5303683211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Mccoy 124 Clyde Day Rd Deridder LA 70634-5876 Ph: (530) 368-3211 | Ashley Mccoy 124 Clyde Day Rd Deridder LA 70634-5876 Ph: (530) 368-3211 |
| NPI Number | 1689121733 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689121733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 90420 (California) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 90420 (California) | Primary |
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