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300 Edgewood Drive Pineville LA 71360-5445 | |
| (318) 442-7812 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 300 Edgewood Drive, Pineville, Louisiana |
| Authorized Official Name and Position | Benjamin D Arnold (SOLE MEMBER) |
| Authorized Official Contact | 3184427812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 Edgewood Drive Pineville LA 71360-5445 Ph: (318) 442-7812 | 300 Edgewood Drive Pineville LA 71360-5445 Ph: (318) 442-7812 |
| NPI Number | 1790910453 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 05/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790910453 | NPI | - | NPPES |
| G4486 | Other | LA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 679 (Louisiana) | Primary |
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