| C Guedry Llc | |
|
3423 Nw Evangeline Trwy Carencro LA 70520-6241 | |
| (337) 469-1224 | |
| (337) 226-3980 |
| Full Name | C Guedry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3423 Nw Evangeline Trwy, Carencro, Louisiana |
| Authorized Official Name and Position | Christopher Guedry (OWNER) |
| Authorized Official Contact | 3374691224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Guedry Llc 3423 Nw Evangeline Trwy Carencro LA 70520-6241 Ph: (337) 469-1224 | C Guedry Llc 3423 Nw Evangeline Trwy Carencro LA 70520-6241 Ph: (337) 469-1224 |
| NPI Number | 1235772492 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Medicare PECOS PAC ID | 4385072354 |
|---|---|
| Medicare Enrollment ID | O20200325002664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235772492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Christopher Guedry |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1790076321 PECOS PAC ID: 8224318092 Enrollment ID: I20161213002550 |
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