Crossroads Behavioral Health Llc | |
42334 Deluxe Plz Suite 2 Hammond LA 70403-1237 | |
(985) 662-5520 | |
(985) 662-5525 |
Full Name | Crossroads Behavioral Health Llc |
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Speciality | Psychologist - Clinical |
Location | 42334 Deluxe Plz, Hammond, Louisiana |
Authorized Official Name and Position | Pamela B Deters (OWNER/CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 9856625520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crossroads Behavioral Health Llc 42334 Deluxe Plz Suite 2 Hammond LA 70403-1237 Ph: (985) 662-5520 | Crossroads Behavioral Health Llc 42334 Deluxe Plz Suite 2 Hammond LA 70403-1237 Ph: (985) 662-5520 |
NPI Number | 1932475266 |
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Provider Enumeration Date | 03/30/2012 |
Last Update Date | 06/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932475266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1066 (Louisiana) | Primary |
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