| Geriatric Psychological Services Of Louisiana Apc | |
|
100 Asma Blvd Suite 237e Lafayette LA 70508-3858 | |
| (337) 267-1444 | |
| Not Available |
| Full Name | Geriatric Psychological Services Of Louisiana Apc |
|---|---|
| Speciality | Psychologist |
| Location | 100 Asma Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Edmond X Bergeron (PSYCHOLOGIST) |
| Authorized Official Contact | 3372671444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Psychological Services Of Louisiana Apc 100 Asma Blvd Suite 237e Lafayette LA 70508-3858 Ph: (337) 267-1444 | Geriatric Psychological Services Of Louisiana Apc 100 Asma Blvd Suite 237e Lafayette LA 70508-3858 Ph: (337) 267-1444 |
| NPI Number | 1326325127 |
|---|---|
| Provider Enumeration Date | 11/08/2011 |
| Last Update Date | 02/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326325127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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