| Dnp-outpatient | |
|
23515 Hwy 190 Mandeville LA 70448 | |
| (985) 626-6300 | |
| (985) 626-6557 |
| Full Name | Dnp-outpatient |
|---|---|
| Speciality | Psychiatry & Neurology - Neurodevelopmental Disabilities |
| Location | 23515 Hwy 190, Mandeville, Louisiana |
| Authorized Official Name and Position | Patricia Gonzales (C.E.O.) |
| Authorized Official Contact | 9856266300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dnp-outpatient Po Box 3850 Mandeville LA 70470-3850 Ph: (985) 626-6300 | Dnp-outpatient 23515 Hwy 190 Mandeville LA 70448 Ph: (985) 626-6300 |
| NPI Number | 1235366204 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235366204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | (* (Not Available)) | Primary |
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