Fcfiv, Llc | |
6161 Perkins Rd Ste 1d Baton Rouge LA 70808-4119 | |
(225) 963-0709 | |
(225) 612-7092 |
Full Name | Fcfiv, Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 6161 Perkins Rd Ste 1d, Baton Rouge, Louisiana |
Authorized Official Name and Position | F Charles Frey (OWNER) |
Authorized Official Contact | 2259371449 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fcfiv, Llc 6161 Perkins Rd Ste 1d Baton Rouge LA 70808-4119 Ph: (225) 963-0709 | Fcfiv, Llc 6161 Perkins Rd Ste 1d Baton Rouge LA 70808-4119 Ph: (225) 963-0709 |
NPI Number | 1043849987 |
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Provider Enumeration Date | 04/03/2020 |
Last Update Date | 04/03/2020 |
Certification Date | 04/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043849987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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