| Devin Dupre Llc | |
|
315 S College Rd Lafayette LA 70503-3212 | |
| (337) 349-3103 | |
| Not Available |
| Full Name | Devin Dupre Llc |
|---|---|
| Speciality | Social Worker |
| Location | 315 S College Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Devin Dupre (THERAPIST) |
| Authorized Official Contact | 3373493103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Dupre Llc 315 S College Rd Lafayette LA 70503-3212 Ph: (337) 349-3103 | Devin Dupre Llc 315 S College Rd Lafayette LA 70503-3212 Ph: (337) 349-3103 |
| NPI Number | 1003665894 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 9638528870 |
|---|---|
| Medicare Enrollment ID | O20240514001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003665894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Devin Paul Dupre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578234878 PECOS PAC ID: 8022416189 Enrollment ID: I20211005000963 |
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