Central Louisiana Medical Psychology Clinic | |
140 Windermere Blvd Ste A Alexandria LA 71303-3583 | |
(785) 979-2667 | |
Not Available |
Full Name | Central Louisiana Medical Psychology Clinic |
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Speciality | Psychologist |
Location | 140 Windermere Blvd Ste A, Alexandria, Louisiana |
Authorized Official Name and Position | Lauren Drerup Stokes (OWNER/MEDICAL PSYCHOLOGIST) |
Authorized Official Contact | 3185457255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Louisiana Medical Psychology Clinic 140 Windermere Blvd Ste A Alexandria LA 71303-3583 Ph: (318) 545-7255 | Central Louisiana Medical Psychology Clinic 140 Windermere Blvd Ste A Alexandria LA 71303-3583 Ph: (785) 979-2667 |
NPI Number | 1467034587 |
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Provider Enumeration Date | 04/27/2021 |
Last Update Date | 08/10/2021 |
Certification Date | 08/10/2021 |
Medicare PECOS PAC ID | 3971902990 |
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Medicare Enrollment ID | O20210525001343 |
Identifier | Type | State | Issuer |
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1467034587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
Provider Name | Geralyn Datz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1972616076 PECOS PAC ID: 3870510431 Enrollment ID: I20110309000889 |
Provider Name | Lauren D Stokes |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255640041 PECOS PAC ID: 0749502599 Enrollment ID: I20141204002211 |
Provider Name | Jennifer Q Andrus |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801248521 PECOS PAC ID: 4284928482 Enrollment ID: I20160811000368 |
Provider Name | Larry D Vaught |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629141775 PECOS PAC ID: 1052581832 Enrollment ID: I20220328000306 |
Provider Name | James Underhill |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710201611 PECOS PAC ID: 9537299318 Enrollment ID: I20220920003015 |
Provider Name | Cynthia Cayer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1558063636 PECOS PAC ID: 4981047073 Enrollment ID: I20240206000934 |
Provider Name | Gabrielle Cangelosi Carpenter |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1972074052 PECOS PAC ID: 3476997669 Enrollment ID: I20240215002034 |
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